POLTERA, RONALD
NPI: 1093822215
· WINFIELD, KS 67156
· General Practice Dentistry
· NPI assigned 08/24/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
54 |
53 |
$990.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
43 |
$646.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$360.00 |