BRADFORD B. LILES, DMD, PC
NPI: 1649670936
· THEODORE, AL 36582
· General Practice Dentistry
· NPI assigned 08/25/2014
Provider Details
| Authorized Official | LILES, BRADFORD (OWNER/DENTIST) |
| NPI Enumeration Date | 08/25/2014 |
Related Entities
Other providers sharing the same authorized official: LILES, BRADFORD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
423 |
$6K |
| 2019 |
552 |
$9K |
| 2020 |
1,135 |
$19K |
| 2021 |
914 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
559 |
479 |
$13K |
| D1999 |
|
742 |
564 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
691 |
594 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
528 |
455 |
$7K |
| D0272 |
Bitewings - two radiographic images |
203 |
180 |
$3K |
| D0330 |
Panoramic radiographic image |
65 |
59 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
125 |
109 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
41 |
24 |
$2K |
| D1110 |
Prophylaxis - adult |
41 |
39 |
$1K |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$352.80 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
14 |
12 |
$210.00 |