TRIAD DENTAL GROUP
NPI: 1518218486
· PIEDMONT, SC 29673
· General Practice Dentistry
· NPI assigned 10/02/2012
$321K
Total Medicaid Paid
Provider Details
| Authorized Official | MITCHELL, JENNIFER (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 10/02/2012 |
Related Entities
Other providers sharing the same authorized official: MITCHELL, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,907 |
$73K |
| 2019 |
2,809 |
$73K |
| 2020 |
1,901 |
$49K |
| 2021 |
1,721 |
$45K |
| 2022 |
1,750 |
$43K |
| 2023 |
983 |
$26K |
| 2024 |
451 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,997 |
1,997 |
$97K |
| D0274 |
Bitewings - four radiographic images |
2,231 |
2,231 |
$60K |
| D0120 |
Periodic oral evaluation - established patient |
2,342 |
2,342 |
$52K |
| D1206 |
Topical application of fluoride varnish |
2,497 |
2,497 |
$40K |
| D1120 |
Prophylaxis - child |
607 |
607 |
$21K |
| D0220 |
Intraoral - periapical first radiographic image |
1,216 |
1,214 |
$15K |
| D0330 |
Panoramic radiographic image |
256 |
256 |
$12K |
| D1351 |
Sealant - per tooth |
358 |
107 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
922 |
914 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
56 |
56 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
40 |
40 |
$1K |