ALLEN DENTAL, PLLC
NPI: 1003430570
· CHOTEAU, MT 59422
· Dentist
· NPI assigned 06/01/2020
Provider Details
| Authorized Official | COOPER, MARTHA (FINANCIAL COORDINATOR) |
| NPI Enumeration Date | 06/01/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
96 |
$3K |
| 2022 |
122 |
$4K |
| 2023 |
269 |
$20K |
| 2024 |
207 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0367 |
|
109 |
107 |
$33K |
| D0140 |
Limited oral evaluation - problem focused |
339 |
323 |
$12K |
| D2740 |
Crown - porcelain/ceramic |
17 |
15 |
$11K |
| D2950 |
|
17 |
14 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
71 |
$1K |
| D9630 |
|
50 |
46 |
$893.05 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$610.38 |
| D1206 |
Topical application of fluoride varnish |
31 |
28 |
$600.25 |
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$589.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$298.95 |