BRUCE D. EVANS
NPI: 1932467297
· FLORENCE, AL 35630
· General Practice Dentistry
· NPI assigned 04/24/2012
$516K
Total Medicaid Paid
Provider Details
| Authorized Official | EVANS, STACEY (OFFICE CORDINATOR) |
| NPI Enumeration Date | 04/24/2012 |
Related Entities
Other providers sharing the same authorized official: EVANS, STACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,904 |
$516K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
2,929 |
531 |
$235K |
| D2394 |
|
1,202 |
336 |
$119K |
| D2750 |
|
117 |
37 |
$45K |
| D7230 |
|
113 |
31 |
$20K |
| D1110 |
Prophylaxis - adult |
393 |
377 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
729 |
696 |
$12K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
618 |
564 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
809 |
774 |
$11K |
| D1120 |
Prophylaxis - child |
393 |
373 |
$10K |
| D0330 |
Panoramic radiographic image |
261 |
255 |
$9K |
| D0274 |
Bitewings - four radiographic images |
295 |
282 |
$6K |
| D3120 |
|
274 |
66 |
$5K |
| D0272 |
Bitewings - two radiographic images |
312 |
302 |
$5K |
| D3110 |
|
237 |
61 |
$5K |
| D2950 |
|
42 |
14 |
$4K |
| D2335 |
|
28 |
14 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
113 |
109 |
$2K |
| D2330 |
|
39 |
13 |
$2K |