PRESTON DENTAL CARE PLLC
NPI: 1588116040
· KINGWOOD, WV 26537
· Dentist
· NPI assigned 11/01/2016
Provider Details
| Authorized Official | JOHNSON, JACLYN (DENTIST/OWNER) |
| NPI Enumeration Date | 11/01/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
104 |
$2K |
| 2019 |
36 |
$780.00 |
| 2020 |
57 |
$436.40 |
| 2024 |
605 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
125 |
123 |
$5K |
| D1206 |
Topical application of fluoride varnish |
241 |
237 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
150 |
147 |
$4K |
| D1110 |
Prophylaxis - adult |
38 |
38 |
$2K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$936.10 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$885.50 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$825.00 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$810.70 |
| D0272 |
Bitewings - two radiographic images |
26 |
26 |
$632.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
58 |
36 |
$605.00 |
| D1320 |
|
13 |
13 |
$407.12 |
| D1999 |
|
31 |
29 |
$0.00 |