DALEVILLE DENTAL, LLC
NPI: 1760477251
· DALEVILLE, AL 36322
· General Practice Dentistry
· NPI assigned 09/12/2005
Provider Details
| Authorized Official | WALTERS, JAY (OWNER) |
| NPI Enumeration Date | 09/12/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
72 |
$711.00 |
| 2019 |
67 |
$990.00 |
| 2020 |
42 |
$666.00 |
| 2021 |
123 |
$1K |
| 2022 |
14 |
$237.60 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
106 |
92 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
104 |
89 |
$1K |
| D1999 |
|
94 |
75 |
$760.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$336.00 |