MOUNTAIN DENTAL HYGIENE SERVICES, LLC
NPI: 1164632907
· LAKEWOOD, CO 80232
· Dental Hygienist
· NPI assigned 05/23/2007
Provider Details
| Authorized Official | GUENTHNER, HAVENS (DIRECT ACCESS DENTAL HYGIENIST(OWNE) |
| NPI Enumeration Date | 05/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
518 |
$11K |
| 2019 |
416 |
$9K |
| 2020 |
180 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
493 |
446 |
$8K |
| D0145 |
Oral evaluation for a patient under three years of age |
234 |
212 |
$7K |
| D0190 |
|
261 |
225 |
$4K |
| D1120 |
Prophylaxis - child |
109 |
101 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$368.22 |