WM TREVOR COFFEE DDS PA
NPI: 1790907475
· HOPE, AR 71801
· General Practice Dentistry
· NPI assigned 05/03/2007
$425K
Total Medicaid Paid
Provider Details
| Authorized Official | COFFEE, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: COFFEE, WILLIAM
| Provider | City | State | Total Paid |
|---|
| DC DENTAL |
ARKADELPHIA |
AR |
$393K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,779 |
$104K |
| 2019 |
2,207 |
$62K |
| 2020 |
976 |
$27K |
| 2021 |
1,691 |
$44K |
| 2022 |
2,115 |
$61K |
| 2023 |
2,418 |
$70K |
| 2024 |
2,043 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,576 |
2,657 |
$91K |
| D1110 |
Prophylaxis - adult |
1,929 |
1,404 |
$88K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,006 |
2,188 |
$58K |
| D0272 |
Bitewings - two radiographic images |
2,373 |
1,810 |
$54K |
| D0140 |
Limited oral evaluation - problem focused |
1,248 |
911 |
$39K |
| D7140 |
Extraction, erupted tooth or exposed root |
437 |
128 |
$30K |
| D1120 |
Prophylaxis - child |
798 |
691 |
$28K |
| D0220 |
Intraoral - periapical first radiographic image |
1,163 |
804 |
$20K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
75 |
37 |
$6K |
| D2140 |
|
70 |
25 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
176 |
165 |
$4K |
| D0601 |
|
342 |
280 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
36 |
13 |
$509.75 |