STOREHOUSE DENTAL
NPI: 1881054641
· BOWIE, MD 20716
· Dental Clinic/Center
· NPI assigned 03/07/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: CONLEY, STAFFORD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
715 |
$34K |
| 2020 |
160 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
179 |
179 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
175 |
175 |
$12K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
80 |
42 |
$8K |
| D0274 |
Bitewings - four radiographic images |
94 |
94 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
174 |
172 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
161 |
153 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$380.00 |