STAUDHAMMER DENTAL CORPORATION
NPI: 1912576521
· VICTORVILLE, CA 92395
· Dental Clinic/Center
· NPI assigned 06/18/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
380 |
$16K |
| 2024 |
224 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
195 |
195 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
74 |
74 |
$4K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$2K |
| D1120 |
Prophylaxis - child |
39 |
39 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
87 |
87 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
160 |
73 |
$639.90 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$496.80 |