NPI: 1013174556 · GRINNELL, IA 50112 · General Practice Dentistry · NPI assigned 05/21/2008
| Authorized Official | BAUMANN, SCOTT (PRESIDENT) |
| NPI Enumeration Date | 05/21/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 153 | $3K |
| 2019 | 116 | $2K |
| 2020 | 188 | $5K |
| 2021 | 343 | $8K |
| 2022 | 389 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 703 | 665 | $14K |
| D1110 | Prophylaxis - adult | 346 | 326 | $12K |
| D0274 | Bitewings - four radiographic images | 58 | 58 | $2K |
| D1120 | Prophylaxis - child | 26 | 25 | $704.28 |
| D0220 | Intraoral - periapical first radiographic image | 56 | 53 | $497.30 |