BATESVILLE DENTAL CLINIC
NPI: 1972756971
· BATESVILLE, MS 38606
· Dentist
· NPI assigned 11/04/2008
Provider Details
| Authorized Official | OWEN, REBECCA (INSURANCE SECRETARY) |
| Parent Organization | BATESVILLE DENTAL CLINIC |
| NPI Enumeration Date | 11/04/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
617 |
$0.00 |
| 2019 |
2,093 |
$1K |
| 2020 |
1,402 |
$0.00 |
| 2021 |
950 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,008 |
391 |
$658.10 |
| D1120 |
Prophylaxis - child |
1,564 |
770 |
$480.09 |
| D1208 |
Topical application of fluoride, excluding varnish |
1,110 |
487 |
$214.91 |
| D0274 |
Bitewings - four radiographic images |
96 |
52 |
$102.63 |
| D0330 |
Panoramic radiographic image |
29 |
25 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
334 |
238 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
325 |
164 |
$0.00 |
| D1351 |
Sealant - per tooth |
596 |
74 |
$0.00 |