JUSTIN M DEGARMO DMD & ANN HAMILL GREENE DDS PA
NPI: 1982124681
· ELIZABETHTOWN, NC 28337
· Dentist
· NPI assigned 06/23/2017
Provider Details
| Authorized Official | DEGARMO, JUSTIN (PRESIDENT) |
| NPI Enumeration Date | 06/23/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,039 |
$33K |
| 2019 |
568 |
$15K |
| 2020 |
294 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
904 |
852 |
$20K |
| D1110 |
Prophylaxis - adult |
469 |
447 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
125 |
86 |
$12K |
| D1206 |
Topical application of fluoride varnish |
257 |
247 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
104 |
93 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$360.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$336.31 |