SCOBEY DENTAL INC.
NPI: 1013378462
· SCOBEY, MT 59263
· Dental Clinic/Center
· NPI assigned 03/14/2016
Provider Details
| Authorized Official | FERESTAD, SUSAN (OFFICE MANAGER) |
| NPI Enumeration Date | 03/14/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$777.23 |
| 2019 |
65 |
$1K |
| 2020 |
108 |
$3K |
| 2021 |
113 |
$3K |
| 2022 |
66 |
$1K |
| 2023 |
14 |
$326.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
188 |
174 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
158 |
146 |
$3K |
| D1120 |
Prophylaxis - child |
45 |
39 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$625.45 |