SW GRANT PC
NPI: 1881869055
· MERIDIAN, ID 83642
· General Practice Dentistry
· NPI assigned 04/28/2008
Provider Details
| Authorized Official | GRANT, SCOTT (DENTIST) |
| NPI Enumeration Date | 04/28/2008 |
Related Entities
Other providers sharing the same authorized official: GRANT, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
257 |
$5K |
| 2019 |
520 |
$9K |
| 2020 |
1,100 |
$20K |
| 2021 |
1,362 |
$23K |
| 2022 |
1,434 |
$26K |
| 2023 |
294 |
$9K |
| 2024 |
34 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,029 |
1,022 |
$66K |
| D1120 |
Prophylaxis - child |
242 |
242 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
297 |
296 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$2K |
| D1206 |
Topical application of fluoride varnish |
791 |
787 |
$2K |
| D0330 |
Panoramic radiographic image |
31 |
31 |
$683.02 |
| D0274 |
Bitewings - four radiographic images |
587 |
585 |
$460.52 |
| D1208 |
Topical application of fluoride, excluding varnish |
55 |
55 |
$40.65 |
| D0220 |
Intraoral - periapical first radiographic image |
640 |
635 |
$36.88 |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,193 |
604 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
121 |
120 |
$0.00 |