HANSEN, CHRISTOPHER
NPI: 1124280466
· STORM LAKE, IA 50588
· General Practice Dentistry
· NPI assigned 06/27/2008
$287K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,717 |
$56K |
| 2019 |
2,504 |
$55K |
| 2020 |
1,881 |
$43K |
| 2021 |
1,460 |
$33K |
| 2022 |
1,082 |
$25K |
| 2023 |
1,739 |
$43K |
| 2024 |
1,221 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
4,258 |
4,025 |
$84K |
| D1120 |
Prophylaxis - child |
2,437 |
2,283 |
$71K |
| D1110 |
Prophylaxis - adult |
1,539 |
1,475 |
$56K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,271 |
3,074 |
$55K |
| D0272 |
Bitewings - two radiographic images |
1,009 |
943 |
$19K |
| D0274 |
Bitewings - four radiographic images |
68 |
62 |
$1K |
| D2140 |
|
22 |
13 |
$1K |