CUSTOM DENTAL OF NEWCASTLE, PLLC
NPI: 1871872135
· NEWCASTLE, OK 73065
· Dentist
· NPI assigned 08/04/2011
1,056
Beneficiary Records
Provider Details
| Authorized Official | RODGERS, RENE (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 08/04/2011 |
Related Entities
Other providers sharing the same authorized official: RODGERS, RENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$439.08 |
| 2022 |
487 |
$11K |
| 2023 |
543 |
$14K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
366 |
366 |
$7K |
| D1120 |
Prophylaxis - child |
155 |
155 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
308 |
308 |
$5K |
| D1110 |
Prophylaxis - adult |
91 |
91 |
$4K |
| D0274 |
Bitewings - four radiographic images |
106 |
106 |
$3K |
| D0330 |
Panoramic radiographic image |
30 |
30 |
$1K |