BONDURANT DENTAL CENTER
NPI: 1164920286
· BONDURANT, IA 50035
· Dental Clinic/Center
· NPI assigned 01/23/2018
$328K
Total Medicaid Paid
Provider Details
| Authorized Official | NEVILLE, STEVEN (DDS/BUSINESS OWNER) |
| NPI Enumeration Date | 01/23/2018 |
Related Entities
Other providers sharing the same authorized official: NEVILLE, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
498 |
$13K |
| 2019 |
2,021 |
$44K |
| 2020 |
2,102 |
$48K |
| 2021 |
2,139 |
$47K |
| 2022 |
2,713 |
$59K |
| 2023 |
2,919 |
$66K |
| 2024 |
2,077 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
5,801 |
5,509 |
$105K |
| D1110 |
Prophylaxis - adult |
2,535 |
2,440 |
$87K |
| D1120 |
Prophylaxis - child |
2,673 |
2,518 |
$72K |
| D0274 |
Bitewings - four radiographic images |
1,148 |
1,105 |
$28K |
| D1206 |
Topical application of fluoride varnish |
1,248 |
1,226 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
870 |
757 |
$13K |
| D1351 |
Sealant - per tooth |
74 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
46 |
43 |
$778.21 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
12 |
$581.08 |
| D0220 |
Intraoral - periapical first radiographic image |
61 |
54 |
$539.60 |