DENTAL PARTNERS TEMPE LLC
NPI: 1952051104
· TEMPE, AZ 85284
· Dental Clinic/Center
· NPI assigned 03/28/2022
$699.92
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
361 |
$642.48 |
| 2024 |
260 |
$57.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
183 |
178 |
$381.48 |
| D0220 |
Intraoral - periapical first radiographic image |
408 |
365 |
$318.44 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
30 |
16 |
$0.00 |