DARRYL L MABRA DDS &ASSOC INC
NPI: 1649422460
· SPRINGFIELD, OH 45504
· General Practice Dentistry
· NPI assigned 10/13/2008
Provider Details
| Authorized Official | MABRA, DARRYL (PRESIDENT) |
| NPI Enumeration Date | 10/13/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$60.00 |
| 2021 |
181 |
$5K |
| 2022 |
163 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
101 |
101 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
151 |
151 |
$3K |
| D0330 |
Panoramic radiographic image |
52 |
52 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
40 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$60.00 |