DAVIS, JOHN
NPI: 1962592386
· NUTTER FORT, WV 26301
· Dentist
· NPI assigned 10/14/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
177 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
76 |
76 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
74 |
74 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$415.05 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$189.00 |