DANIEL E. LONG, DDS, LLC
NPI: 1710568654
· ANCHOR POINT, AK 99556
· Dental Clinic/Center
· NPI assigned 04/20/2021
$156K
Total Medicaid Paid
2,526
Beneficiary Records
Provider Details
| Authorized Official | LONG, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 04/20/2021 |
Related Entities
Other providers sharing the same authorized official: LONG, DANIEL
| Provider | City | State | Total Paid |
|---|
| DANIEL LONG |
MADISONVILLE |
TN |
$14K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,400 |
$66K |
| 2022 |
567 |
$30K |
| 2023 |
858 |
$44K |
| 2024 |
323 |
$16K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
591 |
485 |
$41K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
614 |
494 |
$31K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
151 |
56 |
$18K |
| D0274 |
Bitewings - four radiographic images |
344 |
275 |
$16K |
| D1206 |
Topical application of fluoride varnish |
535 |
472 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
311 |
267 |
$12K |
| D1120 |
Prophylaxis - child |
201 |
168 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
154 |
123 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
152 |
127 |
$3K |
| D0330 |
Panoramic radiographic image |
35 |
25 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$979.88 |
| D0272 |
Bitewings - two radiographic images |
47 |
22 |
$814.40 |