NELSON, TERESA
NPI: 1013039742
· KALISPELL, MT 59901
· General Practice Dentistry
· NPI assigned 04/04/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
425 |
$8K |
| 2019 |
507 |
$13K |
| 2020 |
148 |
$3K |
| 2021 |
26 |
$496.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
480 |
440 |
$8K |
| D1110 |
Prophylaxis - adult |
101 |
83 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
21 |
14 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
101 |
96 |
$2K |
| D0274 |
Bitewings - four radiographic images |
70 |
63 |
$2K |
| D1120 |
Prophylaxis - child |
44 |
42 |
$1K |
| D0350 |
|
76 |
58 |
$1K |
| D1320 |
|
33 |
33 |
$1K |
| D0601 |
|
61 |
56 |
$518.50 |
| D1310 |
|
50 |
50 |
$478.35 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$442.98 |
| D0602 |
|
27 |
27 |
$258.58 |
| D1330 |
|
30 |
30 |
$195.31 |