BRIAN T. HOOPS, D.D.S. , P.A.
NPI: 1790018703
· BAILEYVILLE, ME 04694
· Dental Clinic/Center
· NPI assigned 09/09/2009
Provider Details
| Authorized Official | HOOPS, BRIAN (OWNER) |
| NPI Enumeration Date | 09/09/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
331 |
$5K |
| 2019 |
144 |
$2K |
| 2020 |
102 |
$2K |
| 2021 |
164 |
$4K |
| 2022 |
56 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
454 |
443 |
$5K |
| D1120 |
Prophylaxis - child |
145 |
140 |
$4K |
| D1330 |
|
69 |
66 |
$845.00 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
28 |
$840.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$825.00 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$645.00 |
| D0140 |
Limited oral evaluation - problem focused |
29 |
29 |
$580.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$440.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$260.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$112.00 |