A. ELIZABETH PATTERSON, DMD, PA
NPI: 1568068427
· SEARCY, AR 72143
· Pediatric Dentist
· NPI assigned 12/07/2020
$493K
Total Medicaid Paid
Provider Details
| Authorized Official | GILBERT, FANNI (SECRETARY) |
| NPI Enumeration Date | 12/07/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
178 |
$0.00 |
| 2020 |
137 |
$3K |
| 2021 |
4,306 |
$100K |
| 2022 |
5,399 |
$140K |
| 2023 |
5,753 |
$149K |
| 2024 |
4,420 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
4,213 |
4,142 |
$108K |
| D1110 |
Prophylaxis - adult |
2,052 |
2,012 |
$95K |
| D1208 |
Topical application of fluoride, excluding varnish |
4,167 |
4,101 |
$79K |
| D1120 |
Prophylaxis - child |
2,128 |
2,098 |
$75K |
| D0272 |
Bitewings - two radiographic images |
1,890 |
1,856 |
$44K |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
290 |
163 |
$40K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,227 |
1,117 |
$30K |
| D0601 |
|
2,172 |
2,134 |
$8K |
| D0602 |
|
1,146 |
1,125 |
$4K |
| D1351 |
Sealant - per tooth |
112 |
38 |
$3K |
| D0603 |
|
748 |
736 |
$3K |
| D9248 |
|
32 |
27 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
16 |
13 |
$1K |