CENTER AVENUE DENTAL CARE, LLC
NPI: 1710127311
· SUMRALL, MS 39482
· General Practice Dentistry
· NPI assigned 02/23/2009
Provider Details
| Authorized Official | BASS, ROGER (PRESIDENT) |
| Parent Organization | BISHOP & BASS, P.A. |
| NPI Enumeration Date | 02/23/2009 |
Related Entities
Other providers sharing the same authorized official: BASS, ROGER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
94 |
$2K |
| 2019 |
231 |
$5K |
| 2020 |
189 |
$6K |
| 2021 |
398 |
$12K |
| 2022 |
215 |
$5K |
| 2023 |
838 |
$13K |
| 2024 |
242 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
912 |
688 |
$25K |
| D1120 |
Prophylaxis - child |
747 |
586 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
372 |
259 |
$5K |
| D0274 |
Bitewings - four radiographic images |
37 |
25 |
$554.93 |
| D1110 |
Prophylaxis - adult |
72 |
44 |
$529.17 |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
25 |
$411.71 |
| D0220 |
Intraoral - periapical first radiographic image |
36 |
25 |
$188.12 |