HARMON AND OTTESON DENTAL DURANGO LLC
NPI: 1023738861
· LAS VEGAS, NV 89113
· Dental Clinic/Center
· NPI assigned 08/31/2022
Provider Details
| Authorized Official | EBERT, KENDRA (OPERATIONS PARTNER) |
| NPI Enumeration Date | 08/31/2022 |
Related Entities
Other providers sharing the same authorized official: EBERT, KENDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
783 |
$22K |
| 2024 |
2,186 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
576 |
565 |
$15K |
| D0274 |
Bitewings - four radiographic images |
422 |
409 |
$10K |
| D0330 |
Panoramic radiographic image |
264 |
258 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
160 |
158 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
611 |
590 |
$8K |
| D1110 |
Prophylaxis - adult |
220 |
216 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
491 |
451 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
81 |
75 |
$3K |
| D1206 |
Topical application of fluoride varnish |
51 |
50 |
$2K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$1K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
18 |
13 |
$923.00 |
| D0120 |
Periodic oral evaluation - established patient |
51 |
49 |
$354.75 |