CHILDREN'S LANDING PEDIATRIC DENTISTRY, PC
NPI: 1609438357
· WEST JORDAN, UT 84088
· Pediatric Dentist
· NPI assigned 07/02/2019
Provider Details
| Authorized Official | TEW, MICHAEL (OWNER) |
| NPI Enumeration Date | 07/02/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
126 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
29 |
29 |
$1K |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$825.45 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$599.90 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$462.40 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$234.92 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$182.28 |