LAUREN F. CALLISON, DMD, LLC
NPI: 1700445889
· WALTERBORO, SC 29488
· General Practice Dentistry
· NPI assigned 06/11/2019
Provider Details
| Authorized Official | CALLISON, LAUREN (OWNER/DENTIST) |
| NPI Enumeration Date | 06/11/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
41 |
$1K |
| 2021 |
12 |
$450.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$262.40 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$174.94 |