BRANDTNER, ALEX
NPI: 1154382091
· DAVENPORT, IA 52807
· Pediatric Dentist
· NPI assigned 03/30/2006
$156K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,602 |
$145K |
| 2019 |
368 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
666 |
413 |
$62K |
| D0120 |
Periodic oral evaluation - established patient |
1,199 |
1,169 |
$21K |
| D1120 |
Prophylaxis - child |
755 |
739 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,085 |
1,058 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
636 |
620 |
$15K |
| D1110 |
Prophylaxis - adult |
422 |
410 |
$13K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
142 |
115 |
$8K |
| D1351 |
Sealant - per tooth |
51 |
12 |
$1K |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$186.29 |