BOUNDLESS HEALTH, INC.
NPI: 1710575360
· WORTHINGTON, OH 43085
· Dentist
· NPI assigned 01/08/2021
Provider Details
| Authorized Official | HICKMAN, LAURIE (CONTRACTING & CREDENTIALING MANAGER) |
| NPI Enumeration Date | 01/08/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
211 |
$3K |
| 2024 |
315 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
217 |
186 |
$8K |
| D1110 |
Prophylaxis - adult |
137 |
113 |
$6K |
| D0274 |
Bitewings - four radiographic images |
59 |
57 |
$2K |
| D0330 |
Panoramic radiographic image |
18 |
18 |
$2K |
| D0350 |
|
27 |
14 |
$307.75 |
| D1206 |
Topical application of fluoride varnish |
55 |
33 |
$225.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$106.79 |