TOWN SQUARE DENTAL CARE, PC
NPI: 1073780417
· OSKALOOSA, IA 52577
· Dental Clinic/Center
· NPI assigned 05/14/2008
Provider Details
| Authorized Official | DE BOEF, ERIC (PRESIDENT) |
| NPI Enumeration Date | 05/14/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
354 |
$7K |
| 2019 |
252 |
$5K |
| 2020 |
1,006 |
$10K |
| 2021 |
302 |
$5K |
| 2022 |
49 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
784 |
742 |
$13K |
| D1120 |
Prophylaxis - child |
309 |
285 |
$6K |
| D1206 |
Topical application of fluoride varnish |
444 |
414 |
$6K |
| D1110 |
Prophylaxis - adult |
73 |
70 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$201.89 |
| D0272 |
Bitewings - two radiographic images |
15 |
13 |
$114.59 |
| D1999 |
|
325 |
282 |
$0.00 |