MARSHLANDS II FAMILY DENTISTRY, PA
NPI: 1780184036
· BEAUFORT, SC 29902
· Dental Clinic/Center
· NPI assigned 02/13/2018
Provider Details
| Authorized Official | WISE, JOHN DAVID (GENERAL DENTIST) |
| NPI Enumeration Date | 02/13/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
526 |
$17K |
| 2019 |
751 |
$22K |
| 2020 |
121 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
388 |
388 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
436 |
436 |
$10K |
| D0274 |
Bitewings - four radiographic images |
195 |
195 |
$5K |
| D1206 |
Topical application of fluoride varnish |
238 |
238 |
$4K |
| D0330 |
Panoramic radiographic image |
49 |
49 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
52 |
52 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$870.00 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$535.60 |