NEW MARTINSVILLE DENTAL PLLC
NPI: 1801402185
· NEW MARTINSVILLE, WV 26155
· General Practice Dentistry
· NPI assigned 09/22/2020
Provider Details
| Authorized Official | LOCKHART, ANDREA (MEMBER/OWNER) |
| NPI Enumeration Date | 09/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
552 |
$4K |
| 2023 |
1,533 |
$8K |
| 2024 |
2,975 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
516 |
81 |
$18K |
| D0230 |
Intraoral - periapical each additional radiographic image |
2,448 |
415 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
697 |
428 |
$7K |
| D0330 |
Panoramic radiographic image |
130 |
115 |
$6K |
| D0274 |
Bitewings - four radiographic images |
238 |
178 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
188 |
134 |
$5K |
| D9630 |
|
522 |
322 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
70 |
$2K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$2K |
| D1110 |
Prophylaxis - adult |
31 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
103 |
99 |
$1K |
| D1351 |
Sealant - per tooth |
77 |
12 |
$1K |