NPI: 1578936134 · CENTERTON, AR 72719 · General Practice Dentistry · NPI assigned 11/04/2015
| Authorized Official | MCCORD, TRENTON (DENTIST) |
| NPI Enumeration Date | 11/04/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 465 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0210 | Intraoral - complete series of radiographic images | 62 | 58 | $4K |
| D1206 | Topical application of fluoride varnish | 89 | 79 | $1K |
| D1110 | Prophylaxis - adult | 29 | 26 | $1K |
| D0120 | Periodic oral evaluation - established patient | 49 | 45 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 81 | 70 | $649.85 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 16 | 13 | $335.80 |
| D0230 | Intraoral - periapical each additional radiographic image | 60 | 26 | $285.00 |
| D1330 | 79 | 70 | $0.00 |