BRISTOL DENTAL GROUP, PC
NPI: 1649567025
· BRISTOL, TN 37620
· General Practice Dentistry
· NPI assigned 07/06/2011
Provider Details
| Authorized Official | PITTMAN, JASON (PRESIDENT) |
| NPI Enumeration Date | 07/06/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
529 |
$13K |
| 2019 |
493 |
$13K |
| 2020 |
411 |
$10K |
| 2021 |
122 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
524 |
513 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
617 |
604 |
$12K |
| D1110 |
Prophylaxis - adult |
215 |
211 |
$9K |
| D1120 |
Prophylaxis - child |
169 |
161 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$540.42 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$202.24 |