KEVIN G HARTMAN ESTATE
NPI: 1982947974
· GREENEVILLE, TN 37745
· General Practice Dentistry
· NPI assigned 03/28/2013
Provider Details
| Authorized Official | COVINGTON, LISA (OWNER/ OFFICE MANAGER) |
| NPI Enumeration Date | 03/28/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
84 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$789.75 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$702.08 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$359.82 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$328.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$152.16 |