PINEDALE DENTAL
NPI: 1033870779
· PINEDALE, WY 82941
· General Practice Dentistry
· NPI assigned 01/05/2022
Provider Details
| Authorized Official | PETERSEN, ALISON (RECEPTIONIST) |
| NPI Enumeration Date | 01/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
49 |
$1K |
| 2024 |
100 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
52 |
51 |
$2K |
| D1206 |
|
28 |
28 |
$1K |
| D1110 |
|
12 |
12 |
$731.28 |
| D1208 |
|
30 |
30 |
$487.60 |
| D1120 |
|
12 |
12 |
$469.26 |
| D1330 |
|
15 |
14 |
$73.14 |