ELEVATE ORTHODONTICS LLC
NPI: 1538679188
· VINEYARD, UT 84059
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 10/10/2017
Provider Details
| Authorized Official | GOO, SPENCER (MANAGER) |
| NPI Enumeration Date | 10/10/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
219 |
$5K |
| 2023 |
599 |
$16K |
| 2024 |
762 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
476 |
470 |
$18K |
| D1206 |
Topical application of fluoride varnish |
490 |
485 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
155 |
154 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
171 |
168 |
$2K |
| D0272 |
Bitewings - two radiographic images |
128 |
127 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
123 |
122 |
$1K |
| D1330 |
|
37 |
37 |
$0.00 |