MOORSE DENTAL PSC
NPI: 1073594891
· OLIVIA, MN 56277
· Dentist
· NPI assigned 11/09/2005
Provider Details
| Authorized Official | MOORSE, MARK (PRESIDENT) |
| NPI Enumeration Date | 11/09/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
210 |
$0.00 |
| 2019 |
187 |
$4K |
| 2020 |
130 |
$3K |
| 2021 |
210 |
$4K |
| 2022 |
170 |
$6K |
| 2023 |
368 |
$14K |
| 2024 |
257 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,025 |
1,024 |
$23K |
| D1110 |
Prophylaxis - adult |
274 |
274 |
$13K |
| D1120 |
Prophylaxis - child |
170 |
170 |
$3K |
| D0274 |
Bitewings - four radiographic images |
63 |
63 |
$2K |