BROOKSTONE DENTAL, INC.
NPI: 1770811085
· WESTERVILLE, OH 43081
· General Practice Dentistry
· NPI assigned 11/24/2009
Provider Details
| Authorized Official | STONE, CARLOS (DENTIST) |
| NPI Enumeration Date | 11/24/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
103 |
$2K |
| 2021 |
299 |
$4K |
| 2022 |
787 |
$14K |
| 2023 |
768 |
$13K |
| 2024 |
128 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
404 |
403 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
368 |
368 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
158 |
158 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
583 |
552 |
$3K |
| D0274 |
Bitewings - four radiographic images |
128 |
128 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
257 |
232 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
78 |
78 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
59 |
58 |
$1K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$1K |