DS DENTAL, LLC
NPI: 1811968159
· LORIS, SC 29569
· Dental Clinic/Center
· NPI assigned 01/26/2006
Provider Details
| Authorized Official | SPIGUZZA, LACEY (VICE PRESIDENT) |
| NPI Enumeration Date | 01/26/2006 |
Related Entities
Other providers sharing the same authorized official: SPIGUZZA, LACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,627 |
$40K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
280 |
279 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
550 |
549 |
$13K |
| D1206 |
Topical application of fluoride varnish |
535 |
534 |
$9K |
| D0272 |
Bitewings - two radiographic images |
183 |
183 |
$3K |
| D1120 |
Prophylaxis - child |
54 |
54 |
$2K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$687.75 |