DENTAL AND BRACES DYSART LLC
NPI: 1629676903
· AVONDALE, AZ 85323
· Dental Clinic/Center
· NPI assigned 10/09/2020
Provider Details
| Authorized Official | RAMOS, ELIZABETH (CREDENTIALING) |
| NPI Enumeration Date | 10/09/2020 |
Related Entities
Other providers sharing the same authorized official: RAMOS, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
39 |
$526.38 |
| 2024 |
82 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4346 |
|
13 |
13 |
$657.00 |
| D0220 |
Intraoral - periapical first radiographic image |
57 |
54 |
$562.67 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$479.95 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$427.78 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$289.61 |