KIMBERLY MICHELE DRAPER, DDS PLLC
NPI: 1588193049
· ALBEMARLE, NC 28001
· General Practice Dentistry
· NPI assigned 06/08/2017
$112K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,694 |
$64K |
| 2019 |
1,314 |
$35K |
| 2020 |
405 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,346 |
1,321 |
$33K |
| D1110 |
Prophylaxis - adult |
895 |
882 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
731 |
711 |
$11K |
| D1351 |
Sealant - per tooth |
420 |
81 |
$11K |
| D1120 |
Prophylaxis - child |
414 |
404 |
$10K |
| D0274 |
Bitewings - four radiographic images |
166 |
165 |
$5K |
| D0272 |
Bitewings - two radiographic images |
231 |
225 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
113 |
103 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
97 |
94 |
$1K |