KOLEAN, BEN
NPI: 1134272768
· WASILLA, AK 99654
· Dentist
· NPI assigned 01/18/2007
$114K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
158 |
$7K |
| 2019 |
262 |
$12K |
| 2020 |
196 |
$11K |
| 2021 |
338 |
$19K |
| 2022 |
292 |
$19K |
| 2023 |
366 |
$23K |
| 2024 |
364 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
678 |
602 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
740 |
651 |
$30K |
| D4910 |
|
146 |
120 |
$12K |
| D0274 |
Bitewings - four radiographic images |
204 |
181 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
81 |
65 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
39 |
$3K |
| D1206 |
Topical application of fluoride varnish |
73 |
69 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |