RAY DENTAL GROUP, P.A.
NPI: 1720197882
· RAPID CITY, SD 57701
· General Practice Dentistry
· NPI assigned 08/30/2006
Provider Details
| Authorized Official | LEONARD, DONALD (VICE PRESIDENT) |
| NPI Enumeration Date | 08/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$1K |
| 2019 |
38 |
$1K |
| 2020 |
44 |
$2K |
| 2021 |
52 |
$2K |
| 2022 |
43 |
$1K |
| 2023 |
62 |
$2K |
| 2024 |
16 |
$649.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
255 |
246 |
$7K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$2K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$298.09 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$232.92 |