DEWITT FAMILY DENTISTRY P.C.
NPI: 1104987833
· DE WITT, IA 52742
· General Practice Dentistry
· NPI assigned 12/13/2006
Provider Details
| Authorized Official | PAULSEN, TRACI (OWNER) |
| NPI Enumeration Date | 12/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
744 |
$15K |
| 2019 |
630 |
$12K |
| 2020 |
528 |
$12K |
| 2021 |
709 |
$15K |
| 2022 |
750 |
$17K |
| 2023 |
578 |
$13K |
| 2024 |
318 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,799 |
1,759 |
$33K |
| D1110 |
Prophylaxis - adult |
779 |
764 |
$28K |
| D1206 |
Topical application of fluoride varnish |
1,252 |
1,224 |
$19K |
| D1120 |
Prophylaxis - child |
272 |
264 |
$8K |
| D0274 |
Bitewings - four radiographic images |
137 |
135 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
14 |
$916.38 |