DALLISON, NOBLE
NPI: 1588683700
· BELLA VISTA, AR 72714
· General Practice Dentistry
· NPI assigned 07/19/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
138 |
$4K |
| 2020 |
126 |
$4K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
66 |
66 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
109 |
109 |
$3K |
| D0272 |
Bitewings - two radiographic images |
50 |
50 |
$1K |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$778.05 |