DENTAL CARE AT STONES RIVER
NPI: 1588343792
· MURFREESBORO, TN 37129
· Dental Clinic/Center
· NPI assigned 07/14/2023
$137K
Total Medicaid Paid
Provider Details
| Authorized Official | AIYAD, BOTROS (CEO) |
| NPI Enumeration Date | 07/14/2023 |
Related Entities
Other providers sharing the same authorized official: AIYAD, BOTROS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
939 |
$137K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
66 |
32 |
$61K |
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
39 |
25 |
$35K |
| D4342 |
|
236 |
60 |
$25K |
| D0140 |
Limited oral evaluation - problem focused |
125 |
118 |
$5K |
| D0330 |
Panoramic radiographic image |
113 |
108 |
$3K |
| D0272 |
Bitewings - two radiographic images |
117 |
111 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
122 |
115 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
121 |
115 |
$2K |