EASTERN INDIANA PEDIATRIC DENTISTRY, LLC
NPI: 1760616114
· CONNERSVILLE, IN 47331
· Pediatric Dentist
· NPI assigned 05/13/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
925 |
$5K |
| 2019 |
1,164 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
593 |
503 |
$9K |
| D1206 |
Topical application of fluoride varnish |
742 |
634 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
666 |
553 |
$6K |
| D1110 |
Prophylaxis - adult |
27 |
24 |
$1K |
| D0272 |
Bitewings - two radiographic images |
61 |
60 |
$917.97 |