ALLEN DENTAL GROUP LLC
NPI: 1124365622
· EAGLE RIVER, AK 99577
· Dentist
· NPI assigned 01/04/2013
$127K
Total Medicaid Paid
Provider Details
| Authorized Official | ALLEN, BRADFORD (OWNER/MEMBER) |
| NPI Enumeration Date | 01/04/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,279 |
$42K |
| 2019 |
1,135 |
$32K |
| 2020 |
463 |
$12K |
| 2021 |
674 |
$22K |
| 2022 |
326 |
$10K |
| 2023 |
229 |
$7K |
| 2024 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,453 |
1,170 |
$46K |
| D1120 |
Prophylaxis - child |
702 |
585 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,624 |
1,302 |
$32K |
| D1110 |
Prophylaxis - adult |
279 |
194 |
$13K |
| D0272 |
Bitewings - two radiographic images |
58 |
51 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$894.24 |
| D1999 |
|
16 |
15 |
$0.00 |