DMG DENTAL DESIGN LLC
NPI: 1508246927
· BOTHELL, WA 98012
· General Practice Dentistry
· NPI assigned 06/01/2015
$932.09
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
106 |
$932.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$315.68 |
| D0330 |
Panoramic radiographic image |
14 |
12 |
$266.11 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
30 |
$200.60 |
| D0274 |
Bitewings - four radiographic images |
16 |
14 |
$106.11 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
28 |
$43.59 |