SOUTHERN DENTAL LLC
NPI: 1922422435
· SEAFORD, DE 19973
· General Practice Dentistry
· NPI assigned 02/05/2014
Provider Details
| Authorized Official | BROWN, PAUL (OWNER) |
| NPI Enumeration Date | 02/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$0.00 |
| 2019 |
17 |
$397.32 |
| 2020 |
13 |
$0.00 |
| 2021 |
342 |
$6K |
| 2022 |
228 |
$4K |
| 2023 |
129 |
$2K |
| 2024 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
299 |
233 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
124 |
106 |
$4K |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$719.80 |
| D0602 |
|
322 |
266 |
$0.00 |