STANFORD DENTAL CLINIC, LLC
NPI: 1891258463
· RIPLEY, MS 38663
· Dentist
· NPI assigned 04/10/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
681 |
$16K |
| 2022 |
766 |
$20K |
| 2023 |
1,060 |
$22K |
| 2024 |
853 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,320 |
1,180 |
$35K |
| D0120 |
Periodic oral evaluation - established patient |
879 |
794 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,001 |
898 |
$15K |
| D0330 |
Panoramic radiographic image |
102 |
86 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
58 |
51 |
$2K |