ELKHORN DENTAL PSC
NPI: 1467010629
· ELKHORN CITY, KY 41522
· Dental Clinic/Center
· NPI assigned 06/03/2019
Provider Details
| Authorized Official | JUSTICE, JAMES (OWNER/PRESIDENT) |
| NPI Enumeration Date | 06/03/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
85 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
43 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$547.30 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$499.15 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$371.45 |