GREGORY J PARTRIDGE DDS, ESTATE
NPI: 1740617612
· WICHITA, KS 67211
· Dentist
· NPI assigned 10/08/2013
Provider Details
| Authorized Official | ROSE, TERESA (OWNER) |
| NPI Enumeration Date | 10/08/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$252.00 |
| 2019 |
133 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
60 |
$2K |
| D1206 |
Topical application of fluoride varnish |
31 |
31 |
$522.58 |
| D0120 |
Periodic oral evaluation - established patient |
25 |
24 |
$519.12 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$445.20 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$299.98 |