MINDEN DENTAL CLINIC, LLC
NPI: 1134495849
· MINDEN, NE 68959
· General Practice Dentistry
· NPI assigned 03/27/2012
$120K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
349 |
$8K |
| 2019 |
434 |
$9K |
| 2020 |
418 |
$9K |
| 2021 |
1,090 |
$17K |
| 2022 |
1,594 |
$30K |
| 2023 |
919 |
$24K |
| 2024 |
709 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,688 |
1,678 |
$39K |
| D1110 |
Prophylaxis - adult |
632 |
625 |
$22K |
| D1999 |
|
1,855 |
1,715 |
$18K |
| D1206 |
Topical application of fluoride varnish |
685 |
661 |
$17K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
155 |
112 |
$13K |
| D1120 |
Prophylaxis - child |
279 |
278 |
$7K |
| D0274 |
Bitewings - four radiographic images |
115 |
115 |
$2K |
| D0272 |
Bitewings - two radiographic images |
79 |
79 |
$906.20 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$336.16 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$97.32 |