ELM PEDIATRIC DENTISTRY, PLLC
NPI: 1578255055
· CRESTWOOD, KY 40014
· Pediatric Dentist
· NPI assigned 05/23/2023
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
82 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
33 |
33 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
20 |
$617.50 |
| D1206 |
Topical application of fluoride varnish |
29 |
28 |
$487.50 |