CHILDRENS DENTISTRY
NPI: 1790225399
· ONTARIO, OR 97914
· Pediatric Dentist
· NPI assigned 03/01/2017
Provider Details
| Authorized Official | BRYSON, JEFFREY (OWNER) |
| Parent Organization | CHILDRENS DENTISTRY OF IDAHO |
| NPI Enumeration Date | 03/01/2017 |
Related Entities
Other providers sharing the same authorized official: BRYSON, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,329 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
249 |
249 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$739.02 |
| D0120 |
Periodic oral evaluation - established patient |
176 |
176 |
$136.80 |
| D0220 |
Intraoral - periapical first radiographic image |
173 |
162 |
$9.22 |
| D1208 |
Topical application of fluoride, excluding varnish |
255 |
255 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
271 |
124 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
176 |
176 |
$0.00 |