TOM D SWANSON DDS, INC
NPI: 1467579003
· PORTSMOUTH, RI 02871
· Pediatric Dentist
· NPI assigned 03/26/2007
Provider Details
| Authorized Official | SWANSON, TOM (PRESIDENT) |
| NPI Enumeration Date | 03/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
338 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
91 |
56 |
$3K |
| D1120 |
Prophylaxis - child |
64 |
41 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
26 |
13 |
$2K |
| D1110 |
Prophylaxis - adult |
29 |
17 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
85 |
53 |
$2K |
| D0274 |
Bitewings - four radiographic images |
22 |
14 |
$714.00 |
| D0272 |
Bitewings - two radiographic images |
21 |
12 |
$480.00 |