CLOVER PEDIATRIC DENTISTRY PLLC
NPI: 1497345839
· ARVADA, CO 80005
· Pediatric Dentist
· NPI assigned 01/20/2021
Provider Details
| Authorized Official | YIP, BETTY (OWNER, PEDIATRIC DENTIST) |
| NPI Enumeration Date | 01/20/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
223 |
$7K |
| 2022 |
774 |
$20K |
| 2023 |
1,283 |
$38K |
| 2024 |
603 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0350 |
|
717 |
190 |
$35K |
| D1120 |
Prophylaxis - child |
561 |
561 |
$21K |
| D1206 |
Topical application of fluoride varnish |
683 |
683 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
387 |
387 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
169 |
168 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
287 |
282 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$976.51 |
| D0272 |
Bitewings - two radiographic images |
42 |
42 |
$890.33 |
| D9219 |
|
12 |
12 |
$500.64 |