CLARK, BRADLEY
NPI: 1114052966
· BROKEN BOW, NE 68822
· General Practice Dentistry
· NPI assigned 02/22/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59 |
$1K |
| 2019 |
75 |
$2K |
| 2020 |
13 |
$274.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
88 |
88 |
$2K |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$941.80 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$416.00 |