KEILMAN, MARK
NPI: 1144257551
· THE DALLES, OR 97058
· General Practice Dentistry
· NPI assigned 06/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
68 |
$2K |
| 2019 |
14 |
$354.57 |
| 2023 |
43 |
$930.00 |
| 2024 |
134 |
$986.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
110 |
109 |
$3K |
| D0274 |
Bitewings - four radiographic images |
74 |
74 |
$696.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$516.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$110.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$76.00 |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$52.00 |