KERRY CARLSON DDS,PLLC
NPI: 1568062685
· CLARKSVILLE, AR 72830
· Dental Clinic/Center
· NPI assigned 10/28/2020
Provider Details
| Authorized Official | IHLE, JENNIFER (BUSINESS ADMINISTRATOR) |
| NPI Enumeration Date | 10/28/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
617 |
$15K |
| 2022 |
1,145 |
$30K |
| 2023 |
204 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
657 |
644 |
$16K |
| D1110 |
Prophylaxis - adult |
274 |
264 |
$12K |
| D1206 |
Topical application of fluoride varnish |
553 |
542 |
$10K |
| D0272 |
Bitewings - two radiographic images |
374 |
363 |
$7K |
| D1120 |
Prophylaxis - child |
63 |
63 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
18 |
13 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
27 |
26 |
$625.00 |