ELLERHORST DENTAL, LLC
NPI: 1740035468
· MANTUA, OH 44255
· Dental Clinic/Center
· NPI assigned 04/17/2024
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
340 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
136 |
128 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
12 |
$2K |
| D1206 |
Topical application of fluoride varnish |
63 |
62 |
$2K |
| D1120 |
Prophylaxis - child |
31 |
30 |
$1K |
| D1110 |
Prophylaxis - adult |
18 |
18 |
$1K |
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$642.90 |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
32 |
$361.20 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$255.45 |