NPI: 1720524747 · MIDVALE, UT 84047 · General Practice Dentistry · NPI assigned 01/14/2017
Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more
| Authorized Official | JAMES, STEPHEN (CFO) |
| NPI Enumeration Date | 01/14/2017 |
Other providers sharing the same authorized official: JAMES, STEPHEN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $1K |
| 2019 | 28 | $3K |
| 2020 | 262 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 52 | 52 | $9K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 34 | 12 | $4K |
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $2K |
| D0274 | Bitewings - four radiographic images | 19 | 19 | $166.68 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 34 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 32 | 32 | $0.00 |
| D1120 | Prophylaxis - child | 15 | 15 | $0.00 |
| D0330 | Panoramic radiographic image | 37 | 37 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 51 | 20 | $0.00 |
| D1206 | Topical application of fluoride varnish | 14 | 14 | $0.00 |