LITTLE APPLE PEDIATRIC DENTISTRY, LLC
NPI: 1710428180
· MANHATTAN, KS 66502
· Pediatric Dentist
· NPI assigned 03/17/2017
Provider Details
| Authorized Official | UNDERWOOD, KORI (OWNER/DENTIST) |
| NPI Enumeration Date | 03/17/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
208 |
$5K |
| 2020 |
1,361 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
279 |
273 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
318 |
314 |
$7K |
| D1206 |
Topical application of fluoride varnish |
328 |
323 |
$6K |
| D1351 |
Sealant - per tooth |
125 |
48 |
$3K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
63 |
57 |
$2K |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$2K |
| D0272 |
Bitewings - two radiographic images |
86 |
86 |
$2K |
| D0603 |
|
120 |
118 |
$0.00 |
| D0602 |
|
12 |
12 |
$0.00 |
| D1999 |
|
197 |
176 |
$0.00 |