TLA DDS PLLC
NPI: 1073258471
· CROOKSTON, MN 56716
· Dental Clinic/Center
· NPI assigned 04/29/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
54 |
$2K |
| 2023 |
245 |
$10K |
| 2024 |
160 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
270 |
270 |
$10K |
| D1110 |
Prophylaxis - adult |
109 |
109 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
68 |
68 |
$2K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$540.48 |