NPI: 1841057783 · KNOXVILLE, TN 37909 · Pediatric Dentist · NPI assigned 03/05/2024
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF CRED AND PR) |
| Parent Organization | TN SPECIALTY DENTAL SERVICES, PLLC |
| NPI Enumeration Date | 03/05/2024 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 28,462 | $848K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 4,098 | 4,085 | $141K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1,125 | 450 | $131K |
| D1206 | Topical application of fluoride varnish | 4,225 | 4,190 | $92K |
| D0120 | Periodic oral evaluation - established patient | 3,374 | 3,336 | $83K |
| D1351 | Sealant - per tooth | 1,665 | 505 | $53K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,529 | 1,529 | $46K |
| D0330 | Panoramic radiographic image | 1,012 | 1,000 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 573 | 405 | $37K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1,129 | 1,017 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 445 | 335 | $34K |
| D7140 | Extraction, erupted tooth or exposed root | 456 | 258 | $29K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,108 | 1,050 | $27K |
| D0272 | Bitewings - two radiographic images | 1,525 | 1,513 | $25K |
| D1110 | Prophylaxis - adult | 403 | 402 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 1,405 | 1,379 | $17K |
| D1354 | 1,607 | 393 | $15K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 125 | 95 | $11K |
| D0140 | Limited oral evaluation - problem focused | 334 | 328 | $7K |
| D0274 | Bitewings - four radiographic images | 274 | 267 | $6K |
| D9987 | 12 | 12 | $0.00 | |
| D3120 | 38 | 28 | $0.00 |