E.L. MOORE DDS PA
NPI: 1598199564
· TAMPA, FL 33604
· Dental Clinic/Center
· NPI assigned 08/27/2013
Provider Details
| Authorized Official | MOORE, EDITH (DENTIST) |
| NPI Enumeration Date | 08/27/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
| 2020 |
562 |
$9K |
| 2021 |
124 |
$2K |
| 2022 |
1,415 |
$20K |
| 2023 |
1,989 |
$32K |
| 2024 |
1,329 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
478 |
477 |
$32K |
| D1120 |
Prophylaxis - child |
580 |
578 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
861 |
858 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,257 |
1,251 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
170 |
170 |
$2K |
| D0274 |
Bitewings - four radiographic images |
471 |
469 |
$951.23 |
| D1330 |
|
1,265 |
1,259 |
$469.95 |
| D1351 |
Sealant - per tooth |
193 |
57 |
$136.41 |
| D0272 |
Bitewings - two radiographic images |
172 |
172 |
$91.00 |