THE DENTAL CLINIC
NPI: 1093445082
· ST PAUL, MN 55104
· General Practice Dentistry
· NPI assigned 06/13/2022
Provider Details
| Authorized Official | XIONG, KOLA (OWNER, DENTIST) |
| NPI Enumeration Date | 06/13/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
97 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
16 |
16 |
$941.87 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$806.44 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$667.83 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$479.37 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
14 |
$233.10 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$209.78 |