PENDERGRASS, BARRY
NPI: 1851474779
· CENTERVILLE, TN 37033
· General Practice Dentistry
· NPI assigned 10/23/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
88 |
$3K |
| 2019 |
13 |
$564.72 |
| 2022 |
12 |
$521.28 |
| 2023 |
468 |
$14K |
| 2024 |
363 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
322 |
316 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
147 |
143 |
$4K |
| D0330 |
Panoramic radiographic image |
76 |
75 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
125 |
121 |
$3K |
| D1206 |
Topical application of fluoride varnish |
57 |
57 |
$1K |
| D0272 |
Bitewings - two radiographic images |
53 |
52 |
$760.68 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
13 |
$128.10 |
| D0431 |
|
148 |
143 |
$0.00 |