COPE, BENJAMIN
NPI: 1679752141
· ENTERPRISE, UT 84725
· General Practice Dentistry
· NPI assigned 10/31/2007
$167K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
847 |
$18K |
| 2019 |
777 |
$24K |
| 2020 |
588 |
$21K |
| 2021 |
756 |
$28K |
| 2022 |
1,087 |
$40K |
| 2023 |
651 |
$22K |
| 2024 |
447 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,339 |
1,333 |
$100K |
| D1206 |
Topical application of fluoride varnish |
1,408 |
1,402 |
$33K |
| D0274 |
Bitewings - four radiographic images |
1,084 |
1,079 |
$15K |
| D1120 |
Prophylaxis - child |
1,164 |
1,158 |
$14K |
| D1351 |
Sealant - per tooth |
106 |
13 |
$3K |
| D0330 |
Panoramic radiographic image |
52 |
52 |
$2K |