CRISDENTAL LINCOLN CITY, LLC
NPI: 1154774677
· LINCOLN CITY, OR 97367
· General Practice Dentistry
· NPI assigned 07/20/2016
$46.00
Total Medicaid Paid
Provider Details
| Authorized Official | BRATLAND, MICHAEL (OWNER) |
| Parent Organization | CRISDENTAL PC |
| NPI Enumeration Date | 07/20/2016 |
Related Entities
Other providers sharing the same authorized official: BRATLAND, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,217 |
$0.00 |
| 2019 |
5,712 |
$46.00 |
| 2020 |
2,632 |
$0.00 |
| 2021 |
2,485 |
$0.00 |
| 2022 |
6,453 |
$0.00 |
| 2023 |
7,062 |
$0.00 |
| 2024 |
3,774 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
407 |
360 |
$35.00 |
| D0603 |
|
2,881 |
2,536 |
$11.00 |
| D0330 |
Panoramic radiographic image |
481 |
455 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
725 |
673 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
840 |
755 |
$0.00 |
| D0191 |
|
1,408 |
1,292 |
$0.00 |
| D1354 |
|
13,392 |
1,346 |
$0.00 |
| D1120 |
Prophylaxis - child |
134 |
128 |
$0.00 |
| D4910 |
|
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
279 |
261 |
$0.00 |
| D9996 |
|
16 |
16 |
$0.00 |
| D0190 |
|
12 |
12 |
$0.00 |
| D1320 |
|
1,141 |
1,042 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
1,053 |
965 |
$0.00 |
| D1330 |
|
4,246 |
3,702 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
745 |
675 |
$0.00 |
| D1310 |
|
1,512 |
1,369 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
579 |
529 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
179 |
91 |
$0.00 |
| D0602 |
|
55 |
53 |
$0.00 |
| D0601 |
|
52 |
47 |
$0.00 |
| D1351 |
Sealant - per tooth |
122 |
50 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
47 |
41 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
17 |
$0.00 |