Home ›
MO ›
SPRINGFIELD ›
THE TOOTH TRUCK INC. DBA RONALD MCDONALD CARE MOBILE OF THE OZARKS
THE TOOTH TRUCK INC. DBA RONALD MCDONALD CARE MOBILE OF THE OZARKS
NPI: 1083836381
· SPRINGFIELD, MO 65807
· Public Health Dentist
· NPI assigned 05/03/2007
Provider Details
| Authorized Official | KELLER, BONNIE (PRESIDENT CEO) |
| NPI Enumeration Date | 05/03/2007 |
Related Entities
Other providers sharing the same authorized official: KELLER, BONNIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
483 |
$4K |
| 2019 |
103 |
$481.16 |
| 2020 |
206 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
400 |
40 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
59 |
$1K |
| D1206 |
Topical application of fluoride varnish |
123 |
117 |
$906.73 |
| D1120 |
Prophylaxis - child |
41 |
40 |
$518.80 |
| D0274 |
Bitewings - four radiographic images |
30 |
27 |
$507.52 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$58.28 |
| D1330 |
|
122 |
116 |
$0.00 |