NPI: 1083880751 · COLUMBUS, NE 68601 · General Practice Dentistry · NPI assigned 05/02/2008
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 05/02/2008 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,822 | $38K |
| 2019 | 1,176 | $25K |
| 2020 | 606 | $14K |
| 2021 | 1,308 | $24K |
| 2022 | 1,075 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 1,696 | 1,634 | $38K |
| D0120 | Periodic oral evaluation - established patient | 1,365 | 1,365 | $30K |
| D1120 | Prophylaxis - child | 966 | 965 | $25K |
| D1351 | Sealant - per tooth | 447 | 147 | $11K |
| D1999 | 922 | 848 | $9K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 149 | 149 | $3K |
| D1110 | Prophylaxis - adult | 82 | 82 | $3K |
| D0272 | Bitewings - two radiographic images | 220 | 220 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 47 | 47 | $2K |
| D0330 | Panoramic radiographic image | 81 | 81 | $325.45 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $114.00 |