SAINT LOUIS UNIVERSITY
NPI: 1104377431
· SAINT LOUIS, MO 63104
· Dental Clinic/Center
· NPI assigned 10/21/2016
Provider Details
| Authorized Official | STOECKEL, DANIEL (PROGRAM DIRECTOR-PEDIATRIC DENTISTR) |
| NPI Enumeration Date | 10/21/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
54 |
$945.33 |
| 2020 |
107 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
47 |
45 |
$983.02 |
| D1206 |
Topical application of fluoride varnish |
88 |
84 |
$918.50 |
| D1120 |
Prophylaxis - child |
26 |
26 |
$457.11 |