MY PEDIATRIC DENTIST WEST MAPLE PC
NPI: 1033961982
· OMAHA, NE 68164
· Pediatric Dentist
· NPI assigned 04/03/2024
Provider Details
| Authorized Official | HAJEK, RYAN (OWNER) |
| NPI Enumeration Date | 04/03/2024 |
Related Entities
Other providers sharing the same authorized official: HAJEK, RYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,332 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
494 |
479 |
$13K |
| D1120 |
Prophylaxis - child |
381 |
372 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
444 |
433 |
$13K |
| D0330 |
Panoramic radiographic image |
216 |
210 |
$9K |
| D0272 |
Bitewings - two radiographic images |
214 |
207 |
$4K |
| D1110 |
Prophylaxis - adult |
83 |
78 |
$3K |
| D0274 |
Bitewings - four radiographic images |
111 |
106 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
167 |
158 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
34 |
31 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
173 |
123 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
15 |
13 |
$357.24 |