WEST JORDAN MODERN DENTISTRY , LLP
NPI: 1508134412
· WEST JORDAN, UT 84084
· General Practice Dentistry
· NPI assigned 12/06/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
251 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
33 |
33 |
$2K |
| D1120 |
Prophylaxis - child |
68 |
68 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
34 |
33 |
$111.88 |
| D1330 |
|
50 |
50 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
66 |
66 |
$0.00 |