NPI: 1669065470 · WEST JORDAN, UT 84084 · Dentist · NPI assigned 02/12/2021
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 02/12/2021 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 103,209 | $3.18M |
| 2022 | 158,848 | $4.97M |
| 2023 | 91,183 | $3.37M |
| 2024 | 69,895 | $2.54M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 55,981 | 55,487 | $5.19M |
| D1351 | Sealant - per tooth | 54,514 | 12,560 | $1.05M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 9,381 | 2,490 | $900K |
| D1120 | Prophylaxis - child | 55,123 | 54,641 | $850K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9,538 | 4,918 | $834K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5,546 | 5,492 | $471K |
| D0220 | Intraoral - periapical first radiographic image | 42,629 | 41,721 | $431K |
| D1206 | Topical application of fluoride varnish | 57,945 | 57,421 | $406K |
| D7140 | Extraction, erupted tooth or exposed root | 5,405 | 2,879 | $387K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 6,581 | 3,430 | $384K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5,010 | 3,208 | $351K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 6,220 | 2,076 | $287K |
| D0272 | Bitewings - two radiographic images | 24,843 | 24,631 | $285K |
| D0330 | Panoramic radiographic image | 7,439 | 7,374 | $275K |
| D0230 | Intraoral - periapical each additional radiographic image | 42,724 | 38,450 | $245K |
| D9420 | 2,496 | 2,460 | $229K | |
| D0274 | Bitewings - four radiographic images | 12,545 | 12,413 | $227K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 58 | 58 | $225K |
| D2140 | 3,932 | 2,486 | $191K | |
| D2332 | 1,545 | 901 | $141K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1,301 | 828 | $128K |
| D0140 | Limited oral evaluation - problem focused | 2,887 | 2,811 | $117K |
| D1110 | Prophylaxis - adult | 4,491 | 4,441 | $113K |
| D7240 | Removal of impacted tooth - completely bony | 407 | 109 | $84K |
| D9248 | 1,156 | 1,069 | $83K | |
| D2330 | 1,023 | 667 | $70K | |
| D2160 | 864 | 551 | $44K | |
| D0470 | 367 | 360 | $22K | |
| D7111 | 366 | 264 | $16K | |
| D1510 | 135 | 106 | $12K | |
| D2331 | 95 | 74 | $7K | |
| D2335 | 63 | 45 | $4K | |
| D0270 | 50 | 48 | $488.93 | |
| D0240 | 145 | 73 | $163.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 330 | 300 | $0.00 |