STEVEN W. HUBER, DDS & SAMUEL R. PELKEY, DMD, LLC
NPI: 1659820413
· MANSFIELD, OH 44902
· General Practice Dentistry
· NPI assigned 09/22/2016
Provider Details
| Authorized Official | COMER, CARLA (OFFICE MANAGER) |
| NPI Enumeration Date | 09/22/2016 |
Related Entities
Other providers sharing the same authorized official: COMER, CARLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
147 |
$5K |
| 2019 |
1,163 |
$33K |
| 2020 |
418 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
514 |
496 |
$16K |
| D0330 |
Panoramic radiographic image |
283 |
278 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
129 |
72 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
221 |
217 |
$5K |
| D0274 |
Bitewings - four radiographic images |
231 |
227 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
185 |
173 |
$2K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
19 |
13 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
69 |
69 |
$1K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
18 |
17 |
$870.57 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$260.00 |
| D0220 |
Intraoral - periapical first radiographic image |
46 |
43 |
$197.00 |