COMPREHENSIVE DENTAL AND ORAL CARE
NPI: 1871754440
· EDMOND, OK 73013
· Dentist
· NPI assigned 06/17/2008
Provider Details
| Authorized Official | RADFAR, LIDA (DIRECTOR) |
| NPI Enumeration Date | 06/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
37 |
$655.76 |
| 2023 |
116 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$550.76 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$442.26 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$436.02 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$366.20 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$334.08 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
27 |
$210.36 |