14TH AVENUE DENTAL LLC
NPI: 1740707462
· ALBANY, OR 97322
· Dentist
· NPI assigned 08/23/2017
Provider Details
Related Entities
Other providers sharing the same authorized official: JAMES, BENJAMIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
610 |
$2K |
| 2024 |
1,270 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
178 |
177 |
$1K |
| D4341 |
|
128 |
92 |
$990.00 |
| D1110 |
Prophylaxis - adult |
256 |
255 |
$799.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
66 |
46 |
$142.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
40 |
$114.00 |
| D0140 |
Limited oral evaluation - problem focused |
57 |
56 |
$105.00 |
| D0180 |
|
19 |
19 |
$84.00 |
| D0220 |
Intraoral - periapical first radiographic image |
65 |
64 |
$52.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$26.00 |
| D1206 |
Topical application of fluoride varnish |
59 |
59 |
$19.00 |
| D0603 |
|
32 |
32 |
$10.00 |
| D1330 |
|
917 |
804 |
$0.02 |
| D1310 |
|
33 |
33 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$0.00 |