MOORE, JOHN
NPI: 1720165954
· BRIDGEPORT, WV 26330
· General Practice Dentistry
· NPI assigned 11/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$1K |
| 2019 |
63 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
62 |
62 |
$2K |
| D1120 |
Prophylaxis - child |
46 |
46 |
$973.47 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$268.24 |