FULTON COUNTY PARTNERSHIP
NPI: 1508887712
· MC CONNELLSBURG, PA 17233
· General Practice Dentistry
· NPI assigned 07/22/2006
Provider Details
| Authorized Official | RHODES, PATRICIA (CLINIC COORDINATOR) |
| NPI Enumeration Date | 07/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
70 |
$1K |
| 2024 |
200 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
83 |
82 |
$2K |
| D1206 |
Topical application of fluoride varnish |
60 |
59 |
$1K |
| D1110 |
Prophylaxis - adult |
31 |
30 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$437.05 |
| D1310 |
|
40 |
39 |
$295.00 |
| D1330 |
|
40 |
39 |
$295.00 |