PEARL DENTAL OF TRUMBULL, PLLC
NPI: 1730736216
· TRUMBULL, CT 06611
· Dental Clinic/Center
· NPI assigned 08/20/2019
Provider Details
Related Entities
Other providers sharing the same authorized official: CHANNAMSETTY, KAVEETA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
74 |
$2K |
| 2021 |
413 |
$11K |
| 2022 |
478 |
$12K |
| 2023 |
24 |
$605.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
313 |
286 |
$7K |
| D1120 |
Prophylaxis - child |
145 |
137 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
212 |
203 |
$6K |
| D0274 |
Bitewings - four radiographic images |
102 |
95 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
107 |
98 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
26 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
69 |
67 |
$867.33 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$255.20 |