BRUK P. WEYMOUTH, DDS, PC
NPI: 1053462341
· GREAT FALLS, MT 59405
· General Practice Dentistry
· NPI assigned 01/15/2007
Provider Details
| Authorized Official | WEYMOUTH, PENNY (OFFICE MANAGER) |
| NPI Enumeration Date | 01/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
377 |
$11K |
| 2019 |
432 |
$13K |
| 2020 |
249 |
$8K |
| 2021 |
337 |
$11K |
| 2022 |
177 |
$6K |
| 2023 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
663 |
655 |
$19K |
| D1206 |
Topical application of fluoride varnish |
662 |
655 |
$15K |
| D1110 |
Prophylaxis - adult |
210 |
208 |
$12K |
| D1120 |
Prophylaxis - child |
76 |
75 |
$3K |