NPI: 1619468766 · COLUMBUS, NC 28722 · Dental Clinic/Center · NPI assigned 05/24/2018
Authorized official GREENWELL, TAMMY controls 20+ related entities in our dataset. Read more
| Authorized Official | GREENWELL, TAMMY (CEO) |
| NPI Enumeration Date | 05/24/2018 |
Other providers sharing the same authorized official: GREENWELL, TAMMY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 508 | $11K |
| 2019 | 1,860 | $46K |
| 2020 | 2,381 | $28K |
| 2021 | 1,724 | $40K |
| 2022 | 575 | $14K |
| 2023 | 159 | $3K |
| 2024 | 1,251 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,641 | 1,330 | $34K |
| D1206 | Topical application of fluoride varnish | 2,310 | 1,931 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 388 | 163 | $27K |
| D1120 | Prophylaxis - child | 1,151 | 942 | $25K |
| D1110 | Prophylaxis - adult | 532 | 412 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 182 | 95 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 249 | 217 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 656 | 487 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 569 | 296 | $4K |
| D0272 | Bitewings - two radiographic images | 228 | 176 | $3K |
| D0274 | Bitewings - four radiographic images | 116 | 72 | $2K |
| D1351 | Sealant - per tooth | 79 | 27 | $2K |
| D9995 | 57 | 41 | $0.00 | |
| D9996 | 300 | 146 | $0.00 |