RIDGE SERVICES CO
NPI: 1497171847
· CHATTANOOGA, TN 37412
· Dental Clinic/Center
· NPI assigned 03/10/2014
$157K
Total Medicaid Paid
Provider Details
| Authorized Official | TURNER, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 03/10/2014 |
Related Entities
Other providers sharing the same authorized official: TURNER, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
625 |
$16K |
| 2020 |
738 |
$21K |
| 2021 |
959 |
$27K |
| 2022 |
1,091 |
$34K |
| 2023 |
1,027 |
$34K |
| 2024 |
747 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,068 |
1,060 |
$47K |
| D0120 |
Periodic oral evaluation - established patient |
1,681 |
1,674 |
$41K |
| D1120 |
Prophylaxis - child |
795 |
793 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,146 |
1,140 |
$24K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
113 |
52 |
$8K |
| D0274 |
Bitewings - four radiographic images |
131 |
128 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
77 |
77 |
$2K |
| D0272 |
Bitewings - two radiographic images |
106 |
106 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
31 |
30 |
$658.80 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
37 |
$470.85 |