BIXBY SPARTAN DENTAL PLLC
NPI: 1467003186
· BIXBY, OK 74008
· Dental Clinic/Center
· NPI assigned 09/24/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: JELSING, PRISCILA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
308 |
$7K |
| 2021 |
776 |
$15K |
| 2022 |
755 |
$15K |
| 2023 |
157 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
358 |
358 |
$11K |
| D1206 |
Topical application of fluoride varnish |
633 |
633 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
429 |
429 |
$9K |
| D1110 |
Prophylaxis - adult |
87 |
87 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
242 |
241 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
162 |
146 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$884.50 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$823.50 |
| D0272 |
Bitewings - two radiographic images |
29 |
29 |
$530.58 |