DENTAL WELLNESS CENTER LLC
NPI: 1760214241
· CONWAY, SC 29526
· Dental Clinic/Center
· NPI assigned 08/14/2024
Provider Details
| Authorized Official | BOND, RICHARD (DENTIST) |
| NPI Enumeration Date | 08/14/2024 |
Related Entities
Other providers sharing the same authorized official: BOND, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
575 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
191 |
191 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
21 |
12 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
96 |
96 |
$2K |
| D0274 |
Bitewings - four radiographic images |
82 |
82 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
38 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
31 |
29 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
65 |
65 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$626.90 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$506.88 |