KELLEN A. SPIVEY DENTAL SERVICES, LLC
NPI: 1962633255
· ANNISTON, AL 36206
· General Practice Dentistry
· NPI assigned 08/04/2009
Provider Details
| Authorized Official | SPIVEY, KELLEN (OWNER) |
| NPI Enumeration Date | 08/04/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
51 |
$722.00 |
| 2022 |
12 |
$237.60 |
| 2023 |
33 |
$564.30 |
| 2024 |
14 |
$240.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
59 |
52 |
$947.40 |
| D1110 |
Prophylaxis - adult |
34 |
27 |
$696.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
12 |
$120.00 |