NPI: 1043486715 · HICKMAN, NE 68372 · General Practice Dentistry · NPI assigned 05/02/2008
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 05/02/2008 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 284 | $5K |
| 2019 | 321 | $7K |
| 2020 | 355 | $7K |
| 2021 | 401 | $7K |
| 2022 | 203 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 465 | 451 | $11K |
| D0120 | Periodic oral evaluation - established patient | 446 | 446 | $10K |
| D1120 | Prophylaxis - child | 147 | 147 | $3K |
| D1999 | 302 | 290 | $3K | |
| D1351 | Sealant - per tooth | 57 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 67 | 66 | $1K |
| D1110 | Prophylaxis - adult | 24 | 24 | $686.60 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $286.00 |
| D0272 | Bitewings - two radiographic images | 30 | 30 | $239.30 |
| D0330 | Panoramic radiographic image | 12 | 12 | $112.35 |