PURPLE TOOTH DENTAL
NPI: 1841955945
· MT HOLLY, NC 28120
· Dental Clinic/Center
· NPI assigned 11/03/2021
Provider Details
| Authorized Official | MANCINI, ANDY (CEO) |
| NPI Enumeration Date | 11/03/2021 |
Related Entities
Other providers sharing the same authorized official: MANCINI, ANDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
53 |
$2K |
| 2023 |
113 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
77 |
75 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
20 |
$933.00 |
| D0340 |
|
18 |
17 |
$876.64 |
| D0470 |
|
18 |
17 |
$715.68 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$398.44 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$268.48 |