ISLAND VIEW DENTAL P.C.
NPI: 1003182783
· GRAND ISLAND, NE 68803
· General Practice Dentistry
· NPI assigned 03/28/2012
Provider Details
| Authorized Official | LOFGREEN, DAVID (DENTIST) |
| NPI Enumeration Date | 03/28/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
364 |
$8K |
| 2019 |
487 |
$11K |
| 2020 |
393 |
$8K |
| 2021 |
399 |
$9K |
| 2022 |
325 |
$8K |
| 2023 |
241 |
$7K |
| 2024 |
140 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,099 |
1,081 |
$24K |
| D1110 |
Prophylaxis - adult |
474 |
474 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
372 |
371 |
$9K |
| D0274 |
Bitewings - four radiographic images |
270 |
270 |
$5K |
| D1999 |
|
122 |
116 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$220.72 |