KIDS TOWN PEDIATRIC DENTISTRY OF SYRACUSE
NPI: 1992179964
· SYRACUSE, UT 84075
· Pediatric Dentist
· NPI assigned 11/13/2015
Provider Details
| Authorized Official | PACKHAM, BRETT (MEMBER) |
| NPI Enumeration Date | 11/13/2015 |
Related Entities
Other providers sharing the same authorized official: PACKHAM, BRETT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$34.67 |
| 2023 |
857 |
$21K |
| 2024 |
1,478 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
439 |
433 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
410 |
407 |
$11K |
| D0272 |
Bitewings - two radiographic images |
366 |
361 |
$10K |
| D1206 |
Topical application of fluoride varnish |
471 |
466 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
346 |
346 |
$6K |
| D0230 |
Intraoral - periapical each additional radiographic image |
317 |
316 |
$4K |