DOVER, JUNIOR
NPI: 1457406407
· DOVER, DE 19901
· General Practice Dentistry
· NPI assigned 01/23/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
231 |
$3K |
| 2020 |
81 |
$6K |
| 2021 |
408 |
$24K |
| 2022 |
427 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
431 |
427 |
$28K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
53 |
37 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
169 |
169 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
214 |
214 |
$9K |
| D1206 |
Topical application of fluoride varnish |
162 |
158 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
100 |
100 |
$2K |
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$944.28 |