CARRIE RANDOLPH D.D.S. INC.
NPI: 1588113187
· KODIAK, AK 99615
· Dentist
· NPI assigned 09/25/2016
Provider Details
| Authorized Official | RANDOLPH, CARRIE (GENERAL DENTIST) |
| NPI Enumeration Date | 09/25/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
220 |
$8K |
| 2019 |
212 |
$9K |
| 2020 |
178 |
$7K |
| 2021 |
275 |
$12K |
| 2022 |
274 |
$14K |
| 2023 |
265 |
$16K |
| 2024 |
381 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
557 |
546 |
$25K |
| D1110 |
Prophylaxis - adult |
252 |
241 |
$20K |
| D1206 |
Topical application of fluoride varnish |
746 |
728 |
$20K |
| D4910 |
|
147 |
142 |
$15K |
| D1120 |
Prophylaxis - child |
89 |
89 |
$6K |
| D0330 |
Panoramic radiographic image |
14 |
13 |
$1K |