SPINNAKER PEDIATRIC DENTISTRY PC
NPI: 1629343967
· SALEM, OR 97302
· Pediatric Dentist
· NPI assigned 03/20/2012
Provider Details
| Authorized Official | COOPER, SEAN (PRESIDENT) |
| NPI Enumeration Date | 03/20/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
144 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
46 |
44 |
$2K |
| D1206 |
Topical application of fluoride varnish |
60 |
58 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
37 |
$947.20 |