DENTISTRY FOR CHILDREN AND ADOLESCENTS, LTD.
NPI: 1114076619
· ROCHESTER, MN 55901
· Pediatric Dentist
· NPI assigned 01/10/2007
$235K
Total Medicaid Paid
Provider Details
| Authorized Official | LOEWEN, ROBYN (DENTIST) |
| NPI Enumeration Date | 01/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,231 |
$9K |
| 2019 |
1,297 |
$28K |
| 2020 |
784 |
$18K |
| 2021 |
1,342 |
$31K |
| 2022 |
1,576 |
$51K |
| 2023 |
1,748 |
$55K |
| 2024 |
1,365 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,430 |
3,378 |
$95K |
| D1120 |
Prophylaxis - child |
2,053 |
2,021 |
$57K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,792 |
2,750 |
$50K |
| D1110 |
Prophylaxis - adult |
395 |
386 |
$16K |
| D0274 |
Bitewings - four radiographic images |
167 |
166 |
$7K |
| D0272 |
Bitewings - two radiographic images |
306 |
304 |
$7K |
| D1351 |
Sealant - per tooth |
58 |
12 |
$2K |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
59 |
51 |
$686.69 |
| D1999 |
|
29 |
26 |
$0.00 |