MAIN STREET DENTAL, PLLC
NPI: 1720843444
· MANNINGTON, WV 26582
· General Practice Dentistry
· NPI assigned 02/21/2024
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
90 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
37 |
36 |
$1K |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$610.50 |
| D0120 |
Periodic oral evaluation - established patient |
23 |
22 |
$577.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$330.00 |