SOUTH HILLS DENTAL
NPI: 1841573243
· HELENA, MT 59601
· Dentist
· NPI assigned 09/21/2011
Provider Details
| Authorized Official | SEALEY, KATHRYN (VICE PRESIDENT) |
| NPI Enumeration Date | 09/21/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
176 |
$4K |
| 2019 |
91 |
$2K |
| 2020 |
79 |
$2K |
| 2021 |
44 |
$2K |
| 2022 |
154 |
$6K |
| 2023 |
61 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
343 |
324 |
$8K |
| D1110 |
Prophylaxis - adult |
117 |
113 |
$6K |
| D1206 |
Topical application of fluoride varnish |
130 |
118 |
$2K |
| D1120 |
Prophylaxis - child |
15 |
13 |
$592.20 |