A KIDZ CLINIC
NPI: 1093472268
· DELTA, CO 81416
· General Practice Dentistry
· NPI assigned 11/23/2021
Provider Details
| Authorized Official | DOCKTER, DIANE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/23/2021 |
Related Entities
Other providers sharing the same authorized official: DOCKTER, DIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
34 |
$660.94 |
| 2022 |
114 |
$2K |
| 2023 |
361 |
$8K |
| 2024 |
1,035 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0350 |
|
179 |
161 |
$28K |
| D1206 |
Topical application of fluoride varnish |
606 |
574 |
$13K |
| D1120 |
Prophylaxis - child |
263 |
248 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
356 |
346 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
57 |
$3K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$1K |
| D0391 |
|
14 |
14 |
$1K |
| D0190 |
|
47 |
34 |
$473.31 |