TUSCARORA DENTISTRY PLLC
NPI: 1588178479
· MARTINSBURG, WV 25403
· Dental Clinic/Center
· NPI assigned 11/30/2017
Provider Details
| Authorized Official | SMITH, BRANDON (MEMBER) |
| NPI Enumeration Date | 11/30/2017 |
Related Entities
Other providers sharing the same authorized official: SMITH, BRANDON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
320 |
$6K |
| 2019 |
1,054 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
291 |
273 |
$4K |
| D1206 |
Topical application of fluoride varnish |
335 |
308 |
$4K |
| D1120 |
Prophylaxis - child |
182 |
163 |
$3K |
| D1110 |
Prophylaxis - adult |
99 |
93 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
26 |
19 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
116 |
99 |
$805.00 |
| D0330 |
Panoramic radiographic image |
30 |
25 |
$705.00 |
| D9630 |
|
145 |
127 |
$500.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
89 |
71 |
$470.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
14 |
$420.00 |
| D0274 |
Bitewings - four radiographic images |
19 |
19 |
$205.00 |
| D0602 |
|
22 |
17 |
$0.00 |