DENTAL HEALTH ASSOC OF IN
NPI: 1609190719
· BLOOMINGTON, IN 47404
· General Practice Dentistry
· NPI assigned 03/18/2010
Provider Details
Related Entities
Other providers sharing the same authorized official: PURVIS, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
660 |
$4K |
| 2019 |
32 |
$903.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
186 |
178 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
272 |
259 |
$2K |
| D0274 |
Bitewings - four radiographic images |
65 |
58 |
$668.23 |
| D1208 |
Topical application of fluoride, excluding varnish |
80 |
74 |
$313.46 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
31 |
$248.50 |
| D1120 |
Prophylaxis - child |
29 |
28 |
$69.00 |
| D0220 |
Intraoral - periapical first radiographic image |
22 |
17 |
$26.50 |