BRECK LEACH DMD, PLLC
NPI: 1013681584
· JAMESTOWN, ND 58401
· Dental Clinic/Center
· NPI assigned 08/06/2021
Provider Details
| Authorized Official | LEACH, BRECK (OWNER) |
| NPI Enumeration Date | 08/06/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
38 |
$659.66 |
| 2023 |
59 |
$4K |
| 2024 |
182 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
12 |
$3K |
| D1110 |
Prophylaxis - adult |
69 |
44 |
$3K |
| D1206 |
Topical application of fluoride varnish |
90 |
90 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
47 |
47 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$992.16 |