CAPE SIDE DENTAL P A
NPI: 1669780284
· PALM BAY, FL 32909
· Dentist
· NPI assigned 09/16/2010
Provider Details
| Authorized Official | ARTLEY, SAMUEL (OWNER/DOCTOR) |
| NPI Enumeration Date | 09/16/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
151 |
$2K |
| 2021 |
30 |
$0.00 |
| 2022 |
267 |
$2K |
| 2023 |
326 |
$2K |
| 2024 |
457 |
$64.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
123 |
121 |
$2K |
| D1110 |
Prophylaxis - adult |
110 |
98 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
86 |
74 |
$1K |
| D0330 |
Panoramic radiographic image |
44 |
43 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
110 |
102 |
$441.33 |
| D1208 |
Topical application of fluoride, excluding varnish |
425 |
394 |
$57.23 |
| D0274 |
Bitewings - four radiographic images |
28 |
27 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$0.00 |
| D1330 |
|
291 |
270 |
$0.00 |