ROY E. PAULSON JR PC
NPI: 1821207036
· GILLETTE, WY 82718
· Pediatric Dentist
· NPI assigned 05/22/2007
Provider Details
| Authorized Official | PAULSON, ROY (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 05/22/2007 |
Related Entities
Other providers sharing the same authorized official: PAULSON, ROY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
977 |
$25K |
| 2019 |
767 |
$23K |
| 2020 |
535 |
$17K |
| 2021 |
568 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
724 |
717 |
$25K |
| D1206 |
Topical application of fluoride varnish |
743 |
737 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
315 |
315 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
407 |
405 |
$7K |
| D1110 |
Prophylaxis - adult |
143 |
141 |
$6K |
| D0272 |
Bitewings - two radiographic images |
240 |
240 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
224 |
199 |
$4K |
| D1351 |
Sealant - per tooth |
39 |
12 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$720.00 |