BROOK TROUT DENTAL, P.C
NPI: 1912254079
· CASPER, WY 82601
· General Practice Dentistry
· NPI assigned 08/08/2012
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
298 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
127 |
57 |
$2K |
| D1110 |
Prophylaxis - adult |
37 |
35 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
36 |
35 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
71 |
68 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$420.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$312.00 |