DGB DENTAL
NPI: 1033512660
· GRAFTON, ND 58237
· Dental Clinic/Center
· NPI assigned 09/26/2014
Provider Details
| Authorized Official | BRANT, DAVID (OWNER) |
| NPI Enumeration Date | 09/26/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
163 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
66 |
66 |
$3K |
| D1206 |
Topical application of fluoride varnish |
66 |
66 |
$1K |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$507.55 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$477.70 |