COUNTY ROOTS CHILDRENS DENTISTRY LLC
NPI: 1689494213
· PRESQUE ISLE, ME 04769
· Dentist
· NPI assigned 10/17/2024
Provider Details
| Authorized Official | JOHNSON, ERIK (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 10/17/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
249 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
84 |
84 |
$6K |
| D1120 |
Prophylaxis - child |
52 |
52 |
$3K |
| D0330 |
Panoramic radiographic image |
20 |
20 |
$2K |
| D1206 |
Topical application of fluoride varnish |
60 |
60 |
$2K |
| D0272 |
Bitewings - two radiographic images |
33 |
33 |
$1K |