CHANDLER KIDIATRIC DENTAL
NPI: 1598118713
· CHANDLER, AZ 85248
· Pediatric Dentist
· NPI assigned 07/22/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: VILLANUEVA, WALTER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
378 |
$0.00 |
| 2021 |
1,585 |
$780.24 |
| 2022 |
2,059 |
$8K |
| 2023 |
2,182 |
$8K |
| 2024 |
1,671 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,464 |
1,410 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
1,145 |
1,107 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,114 |
1,074 |
$3K |
| D0272 |
Bitewings - two radiographic images |
845 |
816 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
1,195 |
1,143 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,041 |
959 |
$2K |
| D0240 |
|
205 |
136 |
$840.28 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
96 |
92 |
$631.65 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
110 |
87 |
$413.02 |
| D1206 |
Topical application of fluoride varnish |
92 |
89 |
$282.93 |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$263.03 |
| D0274 |
Bitewings - four radiographic images |
34 |
33 |
$154.59 |
| D1330 |
|
368 |
327 |
$0.00 |
| D1999 |
|
150 |
111 |
$0.00 |