NELA DENTAL OF MONROE, LLC
NPI: 1659788057
· MONROE, LA 71201
· Dentist
· NPI assigned 07/17/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: COSTELLO, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
336 |
$13K |
| 2020 |
82 |
$5K |
| 2021 |
13 |
$326.88 |
| 2022 |
68 |
$2K |
| 2023 |
25 |
$404.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
91 |
91 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
113 |
92 |
$4K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
27 |
15 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
61 |
59 |
$3K |
| D1110 |
Prophylaxis - adult |
55 |
55 |
$2K |
| D0272 |
Bitewings - two radiographic images |
107 |
107 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$681.00 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$595.34 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$270.68 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$257.01 |