NATHAN TANNER PC
NPI: 1144862293
· JACKSON, WY 83001
· Dental Clinic/Center
· NPI assigned 10/10/2019
Provider Details
| Authorized Official | KRAUSE, LYNETTE (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 10/10/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
53 |
$2K |
| 2021 |
110 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
101 |
99 |
$3K |
| D1206 |
Topical application of fluoride varnish |
46 |
44 |
$1K |
| D1120 |
Prophylaxis - child |
16 |
14 |
$443.69 |