NPI: 1932967536 · SPANISH FORK, UT 84660 · Pediatric Dentist · NPI assigned 03/08/2024
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF CRED AND PR) |
| Parent Organization | UT SPECIALTY DENTAL SERVICES, PLLC |
| NPI Enumeration Date | 03/08/2024 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 3,929 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 610 | 610 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 271 | 125 | $26K |
| D0120 | Periodic oral evaluation - established patient | 586 | 586 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 120 | 34 | $16K |
| D1206 | Topical application of fluoride varnish | 609 | 609 | $13K |
| D0272 | Bitewings - two radiographic images | 416 | 416 | $12K |
| D1351 | Sealant - per tooth | 336 | 71 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 111 | 61 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 96 | 47 | $8K |
| D2332 | 52 | 27 | $6K | |
| D0274 | Bitewings - four radiographic images | 140 | 140 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 220 | 219 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 68 | 68 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 22 | 14 | $3K |
| D0330 | Panoramic radiographic image | 34 | 34 | $2K |
| D1110 | Prophylaxis - adult | 45 | 45 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 146 | 143 | $2K |
| D0140 | Limited oral evaluation - problem focused | 47 | 47 | $2K |