ZELDA COURT DENTAL CARE LLC
NPI: 1659594216
· MONTGOMERY, AL 36106
· Dentist
· NPI assigned 04/11/2007
Provider Details
| Authorized Official | WATERS, FORREST (DENTIST OWNER) |
| NPI Enumeration Date | 04/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$2K |
| 2019 |
66 |
$3K |
| 2020 |
26 |
$990.00 |
| 2021 |
37 |
$1K |
| 2022 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
91 |
$3K |
| D1110 |
Prophylaxis - adult |
61 |
61 |
$3K |
| D0274 |
Bitewings - four radiographic images |
40 |
39 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$792.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$234.00 |