NPI: 1538776455 · MOUNT AIRY, NC 27030 · General Practice Dentistry · NPI assigned 09/24/2020
Authorized official DUFFY, ALICIA controls 20+ related entities in our dataset. Read more
| Authorized Official | DUFFY, ALICIA (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 09/24/2020 |
Other providers sharing the same authorized official: DUFFY, ALICIA
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 142 | $4K |
| 2021 | 2,775 | $73K |
| 2022 | 6,025 | $160K |
| 2023 | 5,952 | $185K |
| 2024 | 5,893 | $195K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 3,675 | 3,446 | $117K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 725 | 507 | $71K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 812 | 179 | $67K |
| D0330 | Panoramic radiographic image | 1,710 | 1,518 | $64K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,796 | 1,578 | $61K |
| D0120 | Periodic oral evaluation - established patient | 2,422 | 2,351 | $51K |
| D0274 | Bitewings - four radiographic images | 1,326 | 1,227 | $34K |
| D0220 | Intraoral - periapical first radiographic image | 2,912 | 2,461 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,028 | 1,495 | $27K |
| D0140 | Limited oral evaluation - problem focused | 844 | 722 | $23K |
| D5110 | 48 | 38 | $17K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 102 | 76 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 171 | 109 | $12K |
| D0272 | Bitewings - two radiographic images | 535 | 480 | $8K |
| D1206 | Topical application of fluoride varnish | 482 | 452 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | 111 | 49 | $6K |
| D5120 | 13 | 12 | $5K | |
| D1120 | Prophylaxis - child | 75 | 66 | $2K |