PROFESSIONAL DENTAL HYGIENE EXPRESS INC
NPI: 1134472285
· BLOOMER, WI 54724
· Dental Hygienist
· NPI assigned 10/25/2012
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | NEWTON, CAROL (REGISTERED DENTAL HYGIENIST) |
| NPI Enumeration Date | 10/25/2012 |
Related Entities
Other providers sharing the same authorized official: NEWTON, CAROL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
2,213 |
$46K |
| 2024 |
3,603 |
$69K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,636 |
2,621 |
$46K |
| D1120 |
Prophylaxis - child |
976 |
973 |
$29K |
| D1351 |
Sealant - per tooth |
866 |
267 |
$20K |
| D0191 |
|
1,322 |
1,318 |
$19K |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$600.45 |