ALTERRA DENTAL PLLC
NPI: 1962890525
· MANSFIELD, TX 76063
· Dentist
· NPI assigned 01/06/2015
Provider Details
| Authorized Official | CASTLE, MICHAEL (MANAGER) |
| NPI Enumeration Date | 01/06/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
58 |
$504.64 |
| 2021 |
1,163 |
$13K |
| 2024 |
133 |
$683.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
162 |
138 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
135 |
118 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
213 |
189 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
227 |
200 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
287 |
186 |
$2K |
| D1110 |
Prophylaxis - adult |
50 |
44 |
$2K |
| D1120 |
Prophylaxis - child |
48 |
39 |
$691.66 |
| D0601 |
|
232 |
219 |
$0.00 |