PROVIDE DENTAL
NPI: 1760253694
· SAINT LOUIS, MO 63103
· Dental Clinic/Center
· NPI assigned 01/10/2024
Provider Details
| Authorized Official | SON, PHILIP (OWNER/ GENERAL DENTIST) |
| NPI Enumeration Date | 01/10/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
44 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
29 |
28 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$634.40 |