NPI: 1952312118 · SHELBYVILLE, KY 40065 · Dental Clinic/Center · NPI assigned 08/11/2006
Authorized official JAMES, STEPHEN controls 18+ related entities in our dataset. Read more
| Authorized Official | JAMES, STEPHEN (CFO) |
| NPI Enumeration Date | 08/11/2006 |
Other providers sharing the same authorized official: JAMES, STEPHEN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,847 | $113K |
| 2019 | 3,193 | $92K |
| 2020 | 3,183 | $86K |
| 2021 | 747 | $24K |
| 2022 | 908 | $26K |
| 2023 | 3,381 | $138K |
| 2024 | 1,480 | $52K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,238 | 675 | $81K |
| D1110 | Prophylaxis - adult | 1,642 | 1,608 | $78K |
| D1120 | Prophylaxis - child | 1,163 | 1,131 | $62K |
| D0120 | Periodic oral evaluation - established patient | 2,209 | 2,153 | $56K |
| D0274 | Bitewings - four radiographic images | 1,518 | 1,461 | $43K |
| D0330 | Panoramic radiographic image | 980 | 963 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,222 | 1,181 | $32K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 363 | 230 | $27K |
| D0140 | Limited oral evaluation - problem focused | 671 | 657 | $22K |
| D1206 | Topical application of fluoride varnish | 1,068 | 1,052 | $20K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 286 | 198 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 1,765 | 1,678 | $16K |
| D1208 | Topical application of fluoride, excluding varnish | 745 | 720 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,289 | 916 | $9K |
| D1351 | Sealant - per tooth | 330 | 73 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 118 | 112 | $6K |
| D2335 | 21 | 12 | $2K | |
| D0272 | Bitewings - two radiographic images | 95 | 92 | $2K |
| D9986 | 16 | 16 | $0.00 |