DAVID L. BOONE, DDS, INC.
NPI: 1588840128
· CLINTON, OK 73601
· General Practice Dentistry
· NPI assigned 01/14/2008
Provider Details
| Authorized Official | BOONE, DAVID (OWNER/PRESIDENT) |
| NPI Enumeration Date | 01/14/2008 |
Related Entities
Other providers sharing the same authorized official: BOONE, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
80 |
$2K |
| 2022 |
419 |
$11K |
| 2023 |
153 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
137 |
137 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
172 |
172 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
137 |
137 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
26 |
12 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
59 |
53 |
$2K |
| D0272 |
Bitewings - two radiographic images |
79 |
79 |
$1K |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$731.55 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$548.88 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$396.50 |