PETERSON DENTAL, LLC
NPI: 1811366198
· LEEDS, AL 35094
· Dentist
· NPI assigned 09/17/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
148 |
$4K |
| 2019 |
225 |
$5K |
| 2020 |
234 |
$3K |
| 2021 |
58 |
$2K |
| 2022 |
132 |
$3K |
| 2024 |
93 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
332 |
315 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
221 |
211 |
$5K |
| D1120 |
Prophylaxis - child |
93 |
90 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
92 |
86 |
$1K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$651.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$550.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
42 |
25 |
$436.00 |
| D1999 |
|
74 |
63 |
$0.00 |