PEORIA DENTAL CENTER GROUP, LLC
NPI: 1760756209
· PEORIA, AZ 85345
· General Practice Dentistry
· NPI assigned 03/01/2012
Provider Details
| Authorized Official | SALIM, RASOUL (OWNER) |
| NPI Enumeration Date | 03/01/2012 |
Related Entities
Other providers sharing the same authorized official: SALIM, RASOUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
955 |
$0.00 |
| 2019 |
739 |
$2K |
| 2020 |
482 |
$781.65 |
| 2021 |
719 |
$2K |
| 2022 |
739 |
$4K |
| 2023 |
746 |
$7K |
| 2024 |
390 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
972 |
905 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
2,057 |
1,889 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
70 |
31 |
$3K |
| D0274 |
Bitewings - four radiographic images |
312 |
308 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
834 |
727 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
230 |
228 |
$896.48 |
| D1110 |
Prophylaxis - adult |
82 |
80 |
$604.15 |
| D1206 |
Topical application of fluoride varnish |
124 |
122 |
$322.14 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$291.52 |
| D1120 |
Prophylaxis - child |
51 |
50 |
$277.76 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$184.54 |
| D2950 |
|
13 |
12 |
$0.00 |