NEW ORLEANS DENTAL CENTER
NPI: 1629060538
· HARVEY, LA 70058
· General Practice Dentistry
· NPI assigned 08/17/2005
$204K
Total Medicaid Paid
Provider Details
| Authorized Official | LANDRY, DWIGHT (PRESIDENT) |
| NPI Enumeration Date | 08/17/2005 |
Related Entities
Other providers sharing the same authorized official: LANDRY, DWIGHT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,436 |
$77K |
| 2019 |
1,960 |
$55K |
| 2020 |
1,333 |
$37K |
| 2021 |
681 |
$17K |
| 2022 |
465 |
$13K |
| 2023 |
102 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,033 |
1,999 |
$50K |
| D1110 |
Prophylaxis - adult |
1,035 |
1,007 |
$44K |
| D1120 |
Prophylaxis - child |
903 |
896 |
$29K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
608 |
561 |
$22K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
236 |
162 |
$18K |
| D0272 |
Bitewings - two radiographic images |
967 |
944 |
$18K |
| D1208 |
Topical application of fluoride, excluding varnish |
968 |
956 |
$18K |
| D1351 |
Sealant - per tooth |
149 |
57 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
65 |
$910.78 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$180.00 |