STONE RIDGE DENTAL INC.
NPI: 1558512277
· SHELLEY, ID 83274
· Preferred Provider Organization
· NPI assigned 10/01/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
681 |
$10K |
| 2019 |
271 |
$980.99 |
| 2020 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
94 |
94 |
$8K |
| D1120 |
Prophylaxis - child |
45 |
45 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
356 |
356 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
345 |
345 |
$898.80 |
| D0274 |
Bitewings - four radiographic images |
107 |
107 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
31 |
31 |
$0.00 |