THOMAS W. LESLIE, D.D.S.
NPI: 1790186682
· BERKELEY SPRINGS, WV 25411
· General Practice Dentistry
· NPI assigned 09/10/2014
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | LESLIE, THOMAS (OWNER/DENTIST) |
| NPI Enumeration Date | 09/10/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
955 |
$26K |
| 2019 |
1,494 |
$28K |
| 2020 |
3,222 |
$85K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,802 |
1,355 |
$37K |
| D1120 |
Prophylaxis - child |
1,115 |
825 |
$35K |
| D1110 |
Prophylaxis - adult |
784 |
591 |
$33K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,785 |
1,330 |
$31K |
| D0272 |
Bitewings - two radiographic images |
185 |
111 |
$4K |