SCOTT DENTAL LLC
NPI: 1467090571
· SARATOGA, WY 82331
· Dental Clinic/Center
· NPI assigned 12/19/2019
Provider Details
| Authorized Official | SCOTT, AMANDA (OFFICE MANAGER) |
| NPI Enumeration Date | 12/19/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
60 |
$1K |
| 2023 |
55 |
$2K |
| 2024 |
54 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
41 |
39 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$546.08 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$372.00 |
| D1330 |
|
57 |
57 |
$351.04 |