WEBSTER, GRANT
NPI: 1164943866
· COFFEYVILLE, KS 67337
· General Practice Dentistry
· NPI assigned 07/03/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,129 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
202 |
196 |
$14K |
| D1206 |
Topical application of fluoride varnish |
366 |
355 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
63 |
63 |
$6K |
| D1110 |
Prophylaxis - adult |
56 |
56 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
65 |
$4K |
| D1351 |
Sealant - per tooth |
198 |
58 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$379.50 |
| D1330 |
|
39 |
38 |
$0.00 |
| D0191 |
|
42 |
41 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
36 |
$0.00 |