JOHN T FELDER DMD PA
NPI: 1689757247
· MCCOMB, MS 39648
· Dentist
· NPI assigned 10/24/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FELDER, JOHN (OWNER DENTIST) |
| NPI Enumeration Date | 10/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,694 |
$0.00 |
| 2019 |
2,537 |
$0.00 |
| 2020 |
693 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,515 |
521 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
69 |
25 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,496 |
516 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
1,201 |
413 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,512 |
518 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
131 |
13 |
$0.00 |