KERSENBROCK DENTAL CARE LLC
NPI: 1083973671
· O'NEILL, NE 68763
· General Practice Dentistry
· NPI assigned 05/16/2012
$154K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
881 |
$19K |
| 2019 |
664 |
$15K |
| 2020 |
765 |
$15K |
| 2021 |
1,793 |
$29K |
| 2022 |
1,873 |
$33K |
| 2023 |
1,229 |
$28K |
| 2024 |
409 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,508 |
2,503 |
$61K |
| D1999 |
|
2,634 |
2,323 |
$26K |
| D1120 |
Prophylaxis - child |
828 |
828 |
$23K |
| D1110 |
Prophylaxis - adult |
599 |
599 |
$22K |
| D1206 |
Topical application of fluoride varnish |
455 |
454 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
273 |
259 |
$5K |
| D0274 |
Bitewings - four radiographic images |
130 |
130 |
$3K |
| D0272 |
Bitewings - two radiographic images |
174 |
174 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$78.00 |