SPROUT AND BLOOM PEDIATRIC DENTISTRY, PLLC
NPI: 1548846504
· LITTLETON, CO 80127
· Pediatric Dentist
· NPI assigned 03/21/2021
Provider Details
| Authorized Official | DAVIS, ALLISON (OWNER) |
| NPI Enumeration Date | 03/21/2021 |
Related Entities
Other providers sharing the same authorized official: DAVIS, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
376 |
$10K |
| 2023 |
957 |
$24K |
| 2024 |
569 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
612 |
609 |
$24K |
| D1206 |
Topical application of fluoride varnish |
682 |
678 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
373 |
372 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
63 |
$3K |
| D0272 |
Bitewings - two radiographic images |
79 |
78 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
42 |
40 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$517.41 |
| D0240 |
|
12 |
12 |
$459.77 |