NORTH MS COMMUNITY DENTAL CLINIC
NPI: 1598995755
· BATESVILLE, MS 38606
· General Practice Dentistry
· NPI assigned 07/22/2009
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | NEELY, WILLIAM (DENTIST/OWNER) |
| NPI Enumeration Date | 07/22/2009 |
Related Entities
Other providers sharing the same authorized official: NEELY, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,288 |
$0.00 |
| 2019 |
11,620 |
$0.00 |
| 2020 |
3,312 |
$0.00 |
| 2021 |
1,951 |
$0.00 |
| 2022 |
1,709 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
651 |
36 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
460 |
347 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
4,511 |
1,499 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
1,070 |
336 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
7,001 |
1,412 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,685 |
601 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
3,116 |
1,291 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,571 |
621 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
3,420 |
1,425 |
$0.00 |
| D1120 |
Prophylaxis - child |
3,171 |
1,316 |
$0.00 |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
224 |
82 |
$0.00 |