AMDENT LTD
NPI: 1669742052
· WYOMISSING, PA 19610
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 01/03/2012
Provider Details
| Authorized Official | PETERS, SHANNON (OPERATIONS MANAGER) |
| NPI Enumeration Date | 01/03/2012 |
Related Entities
Other providers sharing the same authorized official: PETERS, SHANNON
| Provider | City | State | Total Paid |
|---|
| AMDENT LTD. |
WYOMISSING |
PA |
$331.74 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
66 |
$1K |
| 2023 |
289 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
61 |
61 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
87 |
87 |
$2K |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$812.00 |
| D0220 |
Intraoral - periapical first radiographic image |
92 |
89 |
$704.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
73 |
71 |
$592.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$360.00 |