INTEGRITY DENTAL CLINIC, PLLC
NPI: 1821592734
· FLOWOOD, MS 39232
· Dental Clinic/Center
· NPI assigned 03/23/2018
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,983 |
$0.00 |
| 2019 |
2,715 |
$0.00 |
| 2020 |
741 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,498 |
590 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
196 |
83 |
$0.00 |
| D0330 |
Panoramic radiographic image |
39 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,332 |
517 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
36 |
12 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
2,289 |
757 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
49 |
16 |
$0.00 |