JASON TANGUAY, DDS, LLC
NPI: 1164858361
· BOZEMAN, MT 59715
· General Practice Dentistry
· NPI assigned 09/19/2013
Provider Details
| Authorized Official | TANGUAY, JASON (OWNER) |
| NPI Enumeration Date | 09/19/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,033 |
$51K |
| 2019 |
625 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
668 |
638 |
$18K |
| D1206 |
Topical application of fluoride varnish |
773 |
740 |
$18K |
| D1120 |
Prophylaxis - child |
256 |
248 |
$10K |
| D1110 |
Prophylaxis - adult |
193 |
178 |
$10K |
| D0603 |
|
584 |
559 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
14 |
$3K |
| D0274 |
Bitewings - four radiographic images |
53 |
53 |
$2K |
| D1351 |
Sealant - per tooth |
55 |
12 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$550.56 |
| D1310 |
|
13 |
12 |
$545.91 |
| D1330 |
|
13 |
12 |
$365.85 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$249.12 |