DIXIE DENTAL CENTER PSC
NPI: 1962552042
· LOUISVILLE, KY 40210
· Dental Clinic/Center
· NPI assigned 01/11/2007
Provider Details
| Authorized Official | FULTZ, RODNEY (SEC TREAS) |
| NPI Enumeration Date | 01/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,786 |
$43K |
| 2019 |
1,472 |
$29K |
| 2020 |
925 |
$16K |
| 2021 |
69 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
809 |
637 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
862 |
712 |
$23K |
| D2332 |
|
156 |
14 |
$10K |
| D2140 |
|
257 |
26 |
$9K |
| D0274 |
Bitewings - four radiographic images |
511 |
348 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
1,253 |
976 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
331 |
219 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
960 |
506 |
$3K |
| D1110 |
Prophylaxis - adult |
34 |
25 |
$985.54 |
| D1120 |
Prophylaxis - child |
29 |
12 |
$545.98 |
| D1208 |
Topical application of fluoride, excluding varnish |
50 |
16 |
$241.05 |