CLARK, JOHN
NPI: 1649401597
· CONWAY, AR 72034
· Dentist
· NPI assigned 07/27/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
188 |
$4K |
| 2020 |
29 |
$704.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
90 |
89 |
$2K |
| D0272 |
Bitewings - two radiographic images |
42 |
42 |
$991.03 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$724.50 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$501.92 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$227.52 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$173.26 |
| D0603 |
|
16 |
14 |
$75.79 |