SANFORD HAMILTON D.M.D.,P.C.
NPI: 1497060156
· TAYLORSVILLE, UT 84123
· Dentist
· NPI assigned 08/18/2010
$123K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
71 |
$2K |
| 2019 |
732 |
$33K |
| 2020 |
384 |
$23K |
| 2021 |
224 |
$12K |
| 2022 |
164 |
$10K |
| 2023 |
441 |
$23K |
| 2024 |
721 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
701 |
696 |
$63K |
| D0120 |
Periodic oral evaluation - established patient |
669 |
666 |
$15K |
| D2740 |
Crown - porcelain/ceramic |
31 |
13 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
580 |
521 |
$13K |
| D1110 |
Prophylaxis - adult |
202 |
199 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
250 |
150 |
$4K |
| D1206 |
Topical application of fluoride varnish |
81 |
81 |
$2K |
| D1120 |
Prophylaxis - child |
208 |
208 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$469.70 |