PETERSBURG DENTAL, INC.
NPI: 1932543345
· PETERSBURG, AK 99833
· Dentist
· NPI assigned 04/29/2013
Provider Details
| Authorized Official | LISTER, JAY (DDS/PRESIDENT) |
| NPI Enumeration Date | 04/29/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
91 |
$5K |
| 2019 |
174 |
$7K |
| 2020 |
239 |
$8K |
| 2021 |
357 |
$14K |
| 2022 |
386 |
$17K |
| 2023 |
440 |
$18K |
| 2024 |
211 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
691 |
567 |
$37K |
| D0220 |
Intraoral - periapical first radiographic image |
522 |
442 |
$11K |
| D1110 |
Prophylaxis - adult |
128 |
116 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
249 |
205 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
193 |
141 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
13 |
$3K |
| D0274 |
Bitewings - four radiographic images |
62 |
50 |
$3K |
| D1120 |
Prophylaxis - child |
15 |
15 |
$909.30 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$306.35 |