DAVIS DENTAL PC
NPI: 1952689937
· CHEYENNE, WY 82001
· Dentist
· NPI assigned 07/25/2011
Provider Details
| Authorized Official | DAVIS, RANDALL (DENTIST) |
| NPI Enumeration Date | 07/25/2011 |
Related Entities
Other providers sharing the same authorized official: DAVIS, RANDALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$650.00 |
| 2021 |
13 |
$585.00 |
| 2022 |
118 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
103 |
102 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
29 |
$842.40 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$192.00 |