DUSTIN M. DAVIS, DDS, LLC
NPI: 1518537646
· CLACKAMAS, OR 97015
· Dental Clinic/Center
· NPI assigned 06/30/2021
Provider Details
| Authorized Official | DAVIS, DUSTIN (PEDIATRIC DENTIST/PRACTICE OWNER) |
| NPI Enumeration Date | 06/30/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
68 |
$2K |
| 2022 |
28 |
$2K |
| 2023 |
14 |
$547.56 |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
25 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
54 |
54 |
$2K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$569.00 |
| D0272 |
Bitewings - two radiographic images |
14 |
13 |
$547.56 |
| D0603 |
|
12 |
12 |
$0.00 |