MICHAEL S DALTON DDS PA
NPI: 1558574905
· RUSSELLVILLE, AR 72801
· General Practice Dentistry
· NPI assigned 05/08/2007
Provider Details
| Authorized Official | FROST, PAM (OFFICE COORDINATOR) |
| NPI Enumeration Date | 05/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$585.22 |
| 2021 |
334 |
$9K |
| 2022 |
189 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
67 |
65 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
98 |
87 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
153 |
149 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
29 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
55 |
55 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
30 |
30 |
$923.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
53 |
$791.30 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$642.20 |