APPLE TREE DENTISTRY, PLLC
NPI: 1851730006
· MIDLOTHIAN, VA 23114
· Dental Clinic/Center
· NPI assigned 06/20/2013
Provider Details
| Authorized Official | LEE, SEHMI (MEMBER/VICE PRESIDENT) |
| NPI Enumeration Date | 06/20/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
740 |
$28K |
| 2019 |
862 |
$31K |
| 2020 |
224 |
$8K |
| 2021 |
206 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9920 |
|
597 |
567 |
$40K |
| D9630 |
|
401 |
399 |
$8K |
| D1120 |
Prophylaxis - child |
232 |
232 |
$8K |
| D1206 |
Topical application of fluoride varnish |
370 |
370 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
223 |
223 |
$4K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$613.47 |
| D9994 |
|
71 |
67 |
$587.88 |
| D9992 |
|
71 |
67 |
$587.88 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
29 |
$335.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
14 |
$268.32 |