RYAN BUSHMAN DMD & CHASE DAVIS DDS PLLC
NPI: 1679213375
· MEDICAL LAKE, WA 99022
· Dentist
· NPI assigned 03/30/2022
Provider Details
| Authorized Official | RIVERSON, ASHLIE (BILLING CREDENTIALING MANAGER) |
| NPI Enumeration Date | 03/30/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
305 |
$6K |
| 2023 |
92 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
139 |
139 |
$4K |
| D1120 |
Prophylaxis - child |
120 |
120 |
$3K |
| D1206 |
Topical application of fluoride varnish |
124 |
124 |
$2K |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$133.77 |