BRIDGEVIEW DENTAL GROUP LLC
NPI: 1134588619
· KODIAK, AK 99615
· General Practice Dentistry
· NPI assigned 02/12/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
158 |
$5K |
| 2019 |
299 |
$6K |
| 2020 |
238 |
$8K |
| 2021 |
111 |
$3K |
| 2022 |
486 |
$16K |
| 2023 |
747 |
$31K |
| 2024 |
654 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
915 |
710 |
$30K |
| D1110 |
Prophylaxis - adult |
404 |
300 |
$24K |
| D1206 |
Topical application of fluoride varnish |
943 |
774 |
$21K |
| D1120 |
Prophylaxis - child |
258 |
220 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
72 |
53 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
31 |
12 |
$3K |
| D0274 |
Bitewings - four radiographic images |
54 |
45 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
13 |
$317.59 |