HOMETOWN DENTAL OF YUKON PLLC
NPI: 1548887946
· YUKON, OK 73099
· General Practice Dentistry
· NPI assigned 07/01/2020
Provider Details
| Authorized Official | LONG, BOBBY (MANAGER) |
| NPI Enumeration Date | 07/01/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
206 |
$6K |
| 2023 |
200 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
68 |
68 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
82 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
108 |
105 |
$2K |
| D0274 |
Bitewings - four radiographic images |
41 |
41 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
95 |
87 |
$750.40 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$536.88 |