CAROLINA AESTHETIC DENTISTRY PA
NPI: 1922115658
· SPARTANBURG, SC 29302
· Endodontist
· NPI assigned 08/25/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
180 |
$4K |
| 2019 |
192 |
$4K |
| 2020 |
219 |
$6K |
| 2021 |
12 |
$194.40 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
332 |
332 |
$5K |
| D1110 |
Prophylaxis - adult |
84 |
84 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
147 |
147 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$607.50 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$601.08 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$452.40 |