EAST CAROLINA UNIVERSITY
NPI: 1982028759
· SYLVA, NC 28779
· Dentist
· NPI assigned 02/13/2014
$145K
Total Medicaid Paid
Provider Details
| Authorized Official | CHADWICK, DEXTER (DEAN, SCHOOL OF DENTAL MEDICINE) |
| Parent Organization | EAST CAROLINA UNIVERSITY |
| NPI Enumeration Date | 02/13/2014 |
Related Entities
Other providers sharing the same authorized official: CHADWICK, DEXTER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,260 |
$33K |
| 2019 |
1,221 |
$36K |
| 2020 |
704 |
$20K |
| 2021 |
450 |
$14K |
| 2022 |
485 |
$14K |
| 2023 |
611 |
$18K |
| 2024 |
330 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,921 |
1,855 |
$68K |
| D0120 |
Periodic oral evaluation - established patient |
2,285 |
2,217 |
$57K |
| D1206 |
Topical application of fluoride varnish |
482 |
475 |
$8K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
38 |
25 |
$3K |
| D0274 |
Bitewings - four radiographic images |
83 |
81 |
$3K |
| D1120 |
Prophylaxis - child |
83 |
83 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
124 |
123 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
20 |
12 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$743.40 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$539.33 |