PAINTBRUSH DENTAL, PC
NPI: 1982932265
· THERMOPOLIS, WY 82443
· Dental Clinic/Center
· NPI assigned 11/25/2009
Provider Details
| Authorized Official | POLSON, LEIF (OWNER) |
| NPI Enumeration Date | 11/25/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
574 |
$20K |
| 2019 |
142 |
$5K |
| 2020 |
130 |
$4K |
| 2021 |
251 |
$7K |
| 2022 |
103 |
$3K |
| 2023 |
121 |
$6K |
| 2024 |
180 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
690 |
667 |
$21K |
| D1110 |
Prophylaxis - adult |
188 |
182 |
$9K |
| D1206 |
Topical application of fluoride varnish |
297 |
275 |
$9K |
| D1120 |
Prophylaxis - child |
182 |
178 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
25 |
12 |
$3K |
| D0274 |
Bitewings - four radiographic images |
73 |
69 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
28 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$210.00 |