MOUNTAIN PEAK DENTAL
NPI: 1023401312
· HAMILTON, MT 59840
· General Practice Dentistry
· NPI assigned 03/10/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52 |
$1K |
| 2019 |
119 |
$4K |
| 2020 |
182 |
$7K |
| 2021 |
248 |
$10K |
| 2022 |
165 |
$7K |
| 2023 |
45 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
416 |
397 |
$21K |
| D1206 |
Topical application of fluoride varnish |
237 |
229 |
$5K |
| D0274 |
Bitewings - four radiographic images |
70 |
68 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
76 |
75 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$510.57 |