J & S DENTAL ENTERPRISES PLC
NPI: 1679040034
· SPIRIT LAKE, IA 51360
· General Practice Dentistry
· NPI assigned 10/24/2018
Provider Details
| Authorized Official | CLAY, JOHN (OWNER) |
| NPI Enumeration Date | 10/24/2018 |
Related Entities
Other providers sharing the same authorized official: CLAY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$415.47 |
| 2019 |
1,124 |
$22K |
| 2020 |
1,139 |
$21K |
| 2021 |
563 |
$12K |
| 2022 |
30 |
$599.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,037 |
933 |
$17K |
| D1206 |
Topical application of fluoride varnish |
989 |
884 |
$14K |
| D1120 |
Prophylaxis - child |
465 |
426 |
$12K |
| D1110 |
Prophylaxis - adult |
236 |
220 |
$8K |
| D0274 |
Bitewings - four radiographic images |
84 |
75 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
20 |
14 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
28 |
16 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
24 |
$242.93 |