K. CLAY ELLIS, JR., DMD, LLC
NPI: 1770229650
· GADSDEN, AL 35901
· General Practice Dentistry
· NPI assigned 05/12/2022
Provider Details
| Authorized Official | GREGORY, AMANDA (OFFICE MANAGER) |
| NPI Enumeration Date | 05/12/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
70 |
$1K |
| 2024 |
27 |
$720.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
29 |
26 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$777.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$420.00 |