NORTHERN LAKES DENTAL - RIVERFRONT, LLC
NPI: 1013554310
· FERGUS FALLS, MN 56537
· Dental Clinic/Center
· NPI assigned 12/05/2019
Provider Details
| Authorized Official | BAGLO, CATIE (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 12/05/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
86 |
$2K |
| 2022 |
65 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
110 |
108 |
$3K |
| D1110 |
Prophylaxis - adult |
41 |
40 |
$2K |