STAR DENTAL
NPI: 1811063373
· UPPER DARBY, PA 19082
· General Practice Dentistry
· NPI assigned 11/27/2006
Provider Details
| Authorized Official | DAI, DAVID (OWNER) |
| NPI Enumeration Date | 11/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
160 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
43 |
43 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
62 |
61 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
15 |
$241.05 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$228.69 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$107.88 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$92.76 |