NOBLESVILLE DENTAL CLINIC, INC.
NPI: 1568546109
· NOBLESVILLE, IN 46060
· Denturist
· NPI assigned 10/24/2006
Provider Details
| Authorized Official | THOMAS, THOMAS (PRESIDENT) |
| NPI Enumeration Date | 10/24/2006 |
Related Entities
Other providers sharing the same authorized official: THOMAS, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
86 |
$0.00 |
| 2019 |
253 |
$12K |
| 2020 |
384 |
$26K |
| 2021 |
520 |
$21K |
| 2022 |
437 |
$18K |
| 2023 |
427 |
$16K |
| 2024 |
125 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
747 |
695 |
$38K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
344 |
306 |
$13K |
| D0274 |
Bitewings - four radiographic images |
330 |
305 |
$12K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
58 |
12 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
368 |
353 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
162 |
154 |
$7K |
| D0330 |
Panoramic radiographic image |
79 |
68 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
88 |
81 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
28 |
$623.00 |