KIDMAN, RYAN
NPI: 1033280136
· IDAHO FALLS, ID 83401
· General Practice Dentistry
· NPI assigned 11/11/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
167 |
$44.84 |
| 2019 |
159 |
$0.00 |
| 2020 |
244 |
$3K |
| 2021 |
130 |
$3K |
| 2022 |
266 |
$6K |
| 2023 |
77 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
207 |
207 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
338 |
337 |
$44.84 |
| D0220 |
Intraoral - periapical first radiographic image |
258 |
254 |
$9.22 |
| D0274 |
Bitewings - four radiographic images |
37 |
37 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
163 |
159 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
40 |
40 |
$0.00 |