SCOTTSDALE PEDIATRIC DENTAL ASSOCIATES INC
NPI: 1578126470
· SCOTTSDALE, AZ 85260
· Pediatric Dentist
· NPI assigned 04/16/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$252.54 |
| 2022 |
86 |
$896.70 |
| 2023 |
138 |
$1K |
| 2024 |
78 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
165 |
143 |
$3K |
| D1320 |
|
76 |
65 |
$538.02 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$446.16 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$383.04 |
| D1321 |
|
29 |
27 |
$153.72 |
| D0603 |
|
34 |
28 |
$0.00 |