CHILDREN'S DENTAL CENTRE, PC
NPI: 1053837690
· SIOUX CENTER, IA 51250
· Pediatric Dentist
· NPI assigned 08/15/2017
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
307 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1330 |
|
46 |
33 |
$0.00 |
| D1351 |
Sealant - per tooth |
42 |
12 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
26 |
20 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
39 |
27 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
35 |
26 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
18 |
13 |
$0.00 |
| D2930 |
Prefabricated stainless steel crown - primary tooth |
55 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
46 |
33 |
$0.00 |