MAHER DENTAL CLINIC, PROF. LLC
NPI: 1093840969
· PIERRE, SD 57501
· Dentist
· NPI assigned 02/22/2007
Provider Details
| Authorized Official | MAHER, JAMIE (PRESIDENT) |
| NPI Enumeration Date | 02/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
223 |
$6K |
| 2019 |
501 |
$13K |
| 2020 |
282 |
$7K |
| 2021 |
430 |
$12K |
| 2022 |
540 |
$16K |
| 2023 |
686 |
$21K |
| 2024 |
579 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,380 |
1,369 |
$31K |
| D0120 |
Periodic oral evaluation - established patient |
859 |
858 |
$25K |
| D1120 |
Prophylaxis - child |
428 |
428 |
$17K |
| D1110 |
Prophylaxis - adult |
161 |
156 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
104 |
104 |
$5K |
| D1351 |
Sealant - per tooth |
121 |
16 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
22 |
13 |
$3K |
| D0272 |
Bitewings - two radiographic images |
68 |
68 |
$2K |
| D1354 |
|
68 |
14 |
$1K |
| D0274 |
Bitewings - four radiographic images |
17 |
12 |
$502.34 |
| D0603 |
|
13 |
13 |
$65.65 |