RIVER CITY DENTURE AND DENTAL
NPI: 1487894960
· GRANTS PASS, OR 97526
· Dentist
· NPI assigned 02/24/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
315 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
61 |
60 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
62 |
59 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
58 |
57 |
$813.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
76 |
31 |
$615.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
29 |
$570.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$525.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$377.00 |