LEGENDARY DENTAL PLLC
NPI: 1114490778
· HARLAN, IA 51537
· General Practice Dentistry
· NPI assigned 01/07/2019
Provider Details
| Authorized Official | VEATH, LOGAN (DENTIST/OWNER) |
| NPI Enumeration Date | 01/07/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
182 |
$3K |
| 2020 |
622 |
$11K |
| 2021 |
629 |
$11K |
| 2022 |
133 |
$2K |
| 2023 |
240 |
$6K |
| 2024 |
629 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
928 |
878 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
660 |
624 |
$12K |
| D1120 |
Prophylaxis - child |
358 |
341 |
$9K |
| D1110 |
Prophylaxis - adult |
137 |
129 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
179 |
171 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
60 |
54 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
73 |
$664.95 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$377.25 |
| D1330 |
|
22 |
21 |
$0.00 |