J.WARREN HILDRETH, JR., DDS PA
NPI: 1962782680
· SAINT MARYS, KS 66536
· General Practice Dentistry
· NPI assigned 08/25/2011
Provider Details
| Authorized Official | HILDRETH, JAY (PRESIDENT) |
| NPI Enumeration Date | 08/25/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
494 |
$11K |
| 2019 |
64 |
$1K |
| 2022 |
290 |
$2K |
| 2023 |
469 |
$12K |
| 2024 |
400 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
379 |
331 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
546 |
491 |
$10K |
| D1206 |
Topical application of fluoride varnish |
476 |
427 |
$7K |
| D1120 |
Prophylaxis - child |
225 |
216 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
48 |
46 |
$1K |
| D0272 |
Bitewings - two radiographic images |
28 |
27 |
$501.54 |
| D0274 |
Bitewings - four radiographic images |
15 |
14 |
$400.20 |