ABC DENTAL LLC
NPI: 1841500576
· INDEPENDENCE, MO 64050
· General Practice Dentistry
· NPI assigned 10/15/2010
Provider Details
| Authorized Official | SHEHAN, KRISTA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/15/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$266.96 |
| 2019 |
273 |
$4K |
| 2020 |
40 |
$576.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
80 |
77 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
74 |
71 |
$822.10 |
| D0230 |
Intraoral - periapical each additional radiographic image |
79 |
26 |
$559.30 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$343.20 |