KIDZ KORNER DENTISTRY LLC
NPI: 1881859163
· POOLER, GA 31322
· Pediatric Dentist
· NPI assigned 07/25/2008
Provider Details
| Authorized Official | HERRING, SHANA (DENTIST/OWNER) |
| NPI Enumeration Date | 07/25/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
164 |
$4K |
| 2019 |
159 |
$4K |
| 2020 |
61 |
$1K |
| 2021 |
13 |
$210.60 |
| 2022 |
24 |
$470.40 |
| 2023 |
52 |
$1K |
| 2024 |
24 |
$486.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
225 |
225 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
128 |
128 |
$3K |
| D1120 |
Prophylaxis - child |
70 |
70 |
$2K |
| D0272 |
Bitewings - two radiographic images |
74 |
74 |
$1K |