SJULSON FAMILY DENTISTRY
NPI: 1124386099
· FOSSTON, MN 56542
· Dentist
· NPI assigned 04/30/2012
Provider Details
| Authorized Official | SJULSON, ROGER (DENTIST) |
| NPI Enumeration Date | 04/30/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
105 |
$2K |
| 2022 |
115 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
52 |
52 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
68 |
68 |
$2K |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$912.83 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$712.23 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$289.25 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
15 |
$266.36 |