ACUITY DENTAL - SDA LLC
NPI: 1962160705
· SUMMERVILLE, SC 29486
· General Practice Dentistry
· NPI assigned 11/29/2021
Provider Details
| Authorized Official | TOMLINSON, JENNI (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 11/29/2021 |
Related Entities
Other providers sharing the same authorized official: TOMLINSON, JENNI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
616 |
$16K |
| 2023 |
387 |
$10K |
| 2024 |
155 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
197 |
197 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
285 |
285 |
$6K |
| D0274 |
Bitewings - four radiographic images |
141 |
141 |
$4K |
| D1206 |
Topical application of fluoride varnish |
162 |
162 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
45 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
159 |
158 |
$2K |
| D0330 |
Panoramic radiographic image |
44 |
44 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
12 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
103 |
100 |
$827.73 |