BRADFORD COUNTY DENTAL INC.
NPI: 1558798215
· TOWANDA, PA 18848
· Dental Clinic/Center
· NPI assigned 09/26/2013
Provider Details
| Authorized Official | COYLE, ROBIN (OFFICE MANAGER) |
| NPI Enumeration Date | 09/26/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
398 |
$10K |
| 2019 |
243 |
$7K |
| 2020 |
176 |
$6K |
| 2021 |
892 |
$23K |
| 2024 |
874 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
857 |
857 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
678 |
678 |
$13K |
| D0272 |
Bitewings - two radiographic images |
346 |
346 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
47 |
29 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
98 |
98 |
$2K |
| D0330 |
Panoramic radiographic image |
46 |
46 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
64 |
$2K |
| D1330 |
|
202 |
202 |
$1K |
| D1310 |
|
201 |
201 |
$1K |
| D2140 |
|
18 |
14 |
$810.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$390.00 |
| D0601 |
|
13 |
13 |
$120.00 |