JAN CERVENKA DMD INC
NPI: 1104028232
· WARWICK, RI 02886
· General Practice Dentistry
· NPI assigned 06/01/2007
2,287
Beneficiary Records
Provider Details
| Authorized Official | CERVENKA, JAN (DENTIST) |
| NPI Enumeration Date | 06/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
542 |
$12K |
| 2019 |
344 |
$8K |
| 2020 |
190 |
$4K |
| 2021 |
374 |
$8K |
| 2022 |
381 |
$12K |
| 2023 |
352 |
$14K |
| 2024 |
142 |
$6K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,074 |
1,056 |
$39K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,015 |
1,001 |
$21K |
| D0274 |
Bitewings - four radiographic images |
65 |
64 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
78 |
78 |
$912.00 |
| D0220 |
Intraoral - periapical first radiographic image |
81 |
76 |
$870.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$84.00 |