Home ›
AZ ›
MESA ›
SIGNAL BUTTE KIDS DENTISTRY AND ORTHODONTICS, LLP
SIGNAL BUTTE KIDS DENTISTRY AND ORTHODONTICS, LLP
NPI: 1588200265
· MESA, AZ 85212
· Dentist
· NPI assigned 11/18/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: RICHTSTEIG, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
576 |
$5K |
| 2021 |
1,298 |
$7K |
| 2022 |
1,729 |
$11K |
| 2023 |
2,550 |
$18K |
| 2024 |
3,545 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,561 |
1,518 |
$20K |
| D1206 |
Topical application of fluoride varnish |
1,819 |
1,771 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
977 |
958 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
1,600 |
1,543 |
$7K |
| D0272 |
Bitewings - two radiographic images |
912 |
888 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,613 |
1,420 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
387 |
375 |
$6K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$360.96 |
| D0330 |
Panoramic radiographic image |
38 |
38 |
$336.72 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
35 |
29 |
$297.98 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$227.60 |
| D1330 |
|
732 |
703 |
$0.00 |