PATRICK R. MONTGOMERY, D.D.S.
NPI: 1649339862
· LAWTON, OK 73505
· General Practice Dentistry
· NPI assigned 12/06/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
163 |
$4K |
| 2022 |
878 |
$24K |
| 2023 |
988 |
$28K |
| 2024 |
96 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
596 |
596 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
613 |
613 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
633 |
633 |
$10K |
| D0274 |
Bitewings - four radiographic images |
271 |
271 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$358.00 |