WARREN INGE DENTAL CLINIC
NPI: 1932389467
· MOUND BAYOU, MS 38762
· Dental Clinic/Center
· NPI assigned 11/13/2007
Provider Details
| Authorized Official | PORTER, MICHELLE (ACCOUNTS RECEIVABLE COORDINATOR) |
| NPI Enumeration Date | 11/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
55 |
$2K |
| 2022 |
57 |
$252.86 |
| 2023 |
202 |
$92.00 |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
25 |
24 |
$2K |
| D0330 |
Panoramic radiographic image |
129 |
91 |
$250.20 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
54 |
$126.43 |
| D1120 |
Prophylaxis - child |
52 |
33 |
$49.00 |
| D1206 |
Topical application of fluoride varnish |
39 |
20 |
$43.00 |