PARK RIVER DENTAL, PC
NPI: 1174666119
· PARK RIVER, ND 58270
· General Practice Dentistry
· NPI assigned 02/15/2007
Provider Details
| Authorized Official | LARSON, BRIAN (OWNER/DENTIST PRESIDENT) |
| NPI Enumeration Date | 02/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
241 |
$5K |
| 2019 |
308 |
$7K |
| 2020 |
153 |
$4K |
| 2021 |
527 |
$14K |
| 2022 |
444 |
$13K |
| 2023 |
501 |
$16K |
| 2024 |
542 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,070 |
997 |
$26K |
| D1206 |
Topical application of fluoride varnish |
604 |
567 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
301 |
293 |
$13K |
| D0274 |
Bitewings - four radiographic images |
335 |
320 |
$12K |
| D1120 |
Prophylaxis - child |
235 |
226 |
$8K |
| D1110 |
Prophylaxis - adult |
125 |
124 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
25 |
$471.55 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
13 |
$204.55 |