DAVID E THOME DDS PLLC L1
NPI: 1477251411
· SHERRILLS FORD, NC 28673
· Pediatric Dentist
· NPI assigned 02/20/2023
Provider Details
| Authorized Official | HARRIS, LUCENDA (CREDENTIALING AND CONTRACTING COORD) |
| NPI Enumeration Date | 02/20/2023 |
Related Entities
Other providers sharing the same authorized official: HARRIS, LUCENDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
274 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
66 |
15 |
$10K |
| D9420 |
|
30 |
28 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
147 |
28 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
28 |
$433.38 |