PALMETTO DENTAL STUDIO PELZER, LLC
NPI: 1932509221
· PELZER, SC 29669
· General Practice Dentistry
· NPI assigned 08/25/2014
Provider Details
| Authorized Official | BUTCHER, ANDY (OWNER) |
| NPI Enumeration Date | 08/25/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
149 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
59 |
59 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$1K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$246.22 |