THE SALVATION ARMY
NPI: 1710113444
· OIL CITY, PA 16301
· Public Health Dentist
· NPI assigned 06/09/2009
Provider Details
Related Entities
Other providers sharing the same authorized official: SOUTHWICK, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
688 |
$16K |
| 2019 |
1,164 |
$25K |
| 2020 |
213 |
$4K |
| 2021 |
276 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
715 |
714 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
769 |
768 |
$14K |
| D0274 |
Bitewings - four radiographic images |
257 |
257 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
159 |
156 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
38 |
26 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
288 |
279 |
$2K |
| D1206 |
Topical application of fluoride varnish |
101 |
97 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$390.00 |