PERRY COUNTY DENTAL GROUP SOUTH ZANESVILLE, LLC
NPI: 1578031449
· ZANESVILLE, OH 43701
· Dental Clinic/Center
· NPI assigned 11/08/2018
$331K
Total Medicaid Paid
Provider Details
| Authorized Official | HAGY, ROBERT (PARTNER) |
| NPI Enumeration Date | 11/08/2018 |
Related Entities
Other providers sharing the same authorized official: HAGY, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,060 |
$29K |
| 2020 |
1,372 |
$31K |
| 2021 |
2,183 |
$49K |
| 2022 |
2,543 |
$56K |
| 2023 |
2,311 |
$50K |
| 2024 |
2,831 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
2,921 |
2,726 |
$115K |
| D0120 |
Periodic oral evaluation - established patient |
3,615 |
3,353 |
$72K |
| D0274 |
Bitewings - four radiographic images |
2,339 |
2,165 |
$54K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,031 |
1,845 |
$36K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
942 |
803 |
$23K |
| D1120 |
Prophylaxis - child |
829 |
755 |
$20K |
| D0272 |
Bitewings - two radiographic images |
360 |
324 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
98 |
91 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
33 |
12 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
35 |
27 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
97 |
92 |
$495.25 |