JAYNE E KALU DMD PA
NPI: 1659820330
· CONCORD, NC 28027
· Dental Clinic/Center
· NPI assigned 09/23/2016
Provider Details
| Authorized Official | KALU, JAYNE (PRESIDENT OWNER) |
| NPI Enumeration Date | 09/23/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
77 |
$2K |
| 2024 |
711 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
80 |
78 |
$6K |
| D1110 |
Prophylaxis - adult |
150 |
147 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
117 |
113 |
$5K |
| D1206 |
Topical application of fluoride varnish |
212 |
208 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
85 |
84 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
77 |
39 |
$943.50 |
| D1120 |
Prophylaxis - child |
27 |
25 |
$711.50 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
39 |
$608.40 |