SPROUT PEDIATRIC DENTAL
NPI: 1669150355
· PITTSTON, PA 18640
· Pediatric Dentist
· NPI assigned 07/11/2023
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHLOESSER, KATHERINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
286 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9920 |
|
45 |
44 |
$6K |
| D1120 |
Prophylaxis - child |
54 |
54 |
$2K |
| D1206 |
Topical application of fluoride varnish |
62 |
61 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$757.13 |
| D0603 |
|
38 |
38 |
$380.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$199.22 |
| D1330 |
|
38 |
38 |
$190.00 |