GRENADA DENTAL ASSOCIATES
NPI: 1578719399
· GRENADA, MS 38901
· General Practice Dentistry
· NPI assigned 08/12/2008
Provider Details
| Authorized Official | PAYNE, GINGER (OFFICE) |
| NPI Enumeration Date | 08/12/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
591 |
$469.67 |
| 2019 |
563 |
$5K |
| 2020 |
276 |
$5K |
| 2021 |
196 |
$4K |
| 2022 |
14 |
$330.99 |
| 2024 |
137 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
493 |
362 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
612 |
413 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
110 |
101 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
354 |
253 |
$2K |
| D0272 |
Bitewings - two radiographic images |
183 |
105 |
$925.33 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$820.56 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$377.04 |