NPI: 1588084479 · MOLINE, IL 61265 · General Practice Dentistry · NPI assigned 04/18/2014
Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more
| Authorized Official | TAYLOR, BRANDON (CREDENTIALING & PAYER RELATIONS MAN) |
| NPI Enumeration Date | 04/18/2014 |
Other providers sharing the same authorized official: TAYLOR, BRANDON
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 147 | $1K |
| 2020 | 91 | $307.08 |
| 2021 | 113 | $697.90 |
| 2023 | 22 | $78.75 |
| 2024 | 12 | $137.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 107 | 81 | $695.72 |
| D1120 | Prophylaxis - child | 28 | 27 | $491.40 |
| D0230 | Intraoral - periapical each additional radiographic image | 76 | 41 | $366.48 |
| D1206 | Topical application of fluoride varnish | 29 | 28 | $343.59 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $307.08 |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 15 | $251.32 |
| D1999 | 117 | 71 | $0.00 |