SKYS DENTAL ART LLC
NPI: 1669856753
· BLANDON, PA 19510
· Dentist
· NPI assigned 07/17/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
212 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
14 |
14 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
48 |
48 |
$1K |
| D1206 |
Topical application of fluoride varnish |
53 |
53 |
$1K |
| D1110 |
Prophylaxis - adult |
21 |
21 |
$792.00 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$770.00 |
| D1120 |
Prophylaxis - child |
22 |
22 |
$693.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$132.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$132.00 |