NPI: 1881338234 · GLENDALE, CO 80246 · Pediatric Dentist · NPI assigned 04/22/2022
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF PROVIDER RELATIONS) |
| Parent Organization | CO SPECIALTY DENTAL SERVICES PLLC |
| NPI Enumeration Date | 04/22/2022 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 2,131 | $47K |
| 2023 | 4,253 | $94K |
| 2024 | 3,515 | $113K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,469 | 2,468 | $63K |
| D1120 | Prophylaxis - child | 1,513 | 1,513 | $58K |
| D1206 | Topical application of fluoride varnish | 2,297 | 2,296 | $49K |
| D1110 | Prophylaxis - adult | 754 | 753 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 1,184 | 1,183 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,013 | 1,012 | $13K |
| D0272 | Bitewings - two radiographic images | 529 | 529 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 31 | 14 | $3K |
| D0274 | Bitewings - four radiographic images | 95 | 95 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $568.54 |