APPALACHIAN DISTRICT HEALTH DEPARTMENT
NPI: 1861943334
· SPARTA, NC 28675
· General Practice Dentistry
· NPI assigned 10/20/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LOVETTE, DARYL (HEALTH DIRECTOR) |
| Parent Organization | APPALACHIAN DISTRICT HEALTH DEPARTMENT |
| NPI Enumeration Date | 10/20/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
378 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
56 |
26 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
24 |
12 |
$0.00 |
| D1351 |
Sealant - per tooth |
190 |
20 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
54 |
25 |
$0.00 |
| D1120 |
Prophylaxis - child |
54 |
26 |
$0.00 |