HORIZON DENTAL GROUP LLC
NPI: 1457419327
· CHINO VALLEY, AZ 86323
· General Practice Dentistry
· NPI assigned 12/04/2006
Provider Details
| Authorized Official | COSTES, MARK (OWNER DENTIST) |
| NPI Enumeration Date | 12/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$666.39 |
| 2019 |
40 |
$400.69 |
| 2020 |
427 |
$5K |
| 2021 |
272 |
$3K |
| 2022 |
150 |
$2K |
| 2023 |
173 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
378 |
364 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
380 |
360 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
130 |
129 |
$2K |
| D0274 |
Bitewings - four radiographic images |
86 |
85 |
$1K |
| D1110 |
Prophylaxis - adult |
56 |
55 |
$918.78 |
| D1120 |
Prophylaxis - child |
26 |
26 |
$572.15 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
32 |
$272.06 |