G P NELSON DDS PA
NPI: 1154333250
· WINDOM, MN 56101
· Dentist
· NPI assigned 08/13/2006
Provider Details
| Authorized Official | ROSSOW, ADALINE (OFFICE MANAGER) |
| NPI Enumeration Date | 08/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
51 |
$0.00 |
| 2019 |
110 |
$3K |
| 2020 |
92 |
$2K |
| 2021 |
111 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
207 |
206 |
$4K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$1K |
| D1206 |
Topical application of fluoride varnish |
56 |
56 |
$1K |
| D1120 |
Prophylaxis - child |
33 |
33 |
$876.15 |
| D0272 |
Bitewings - two radiographic images |
27 |
27 |
$426.87 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$376.72 |