MONTEVIDEO FAMILY DENTISTRY PA
NPI: 1194801910
· MONTEVIDEO, MN 56265
· General Practice Dentistry
· NPI assigned 10/27/2006
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | ZENK, JAMES (PRESIDENT MONTEVIDEO FAMILY DENTIST) |
| NPI Enumeration Date | 10/27/2006 |
Related Entities
Other providers sharing the same authorized official: ZENK, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,276 |
$4K |
| 2019 |
949 |
$24K |
| 2020 |
975 |
$26K |
| 2021 |
1,145 |
$31K |
| 2022 |
875 |
$35K |
| 2023 |
796 |
$30K |
| 2024 |
449 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,512 |
1,505 |
$66K |
| D0120 |
Periodic oral evaluation - established patient |
2,407 |
2,388 |
$55K |
| D1206 |
Topical application of fluoride varnish |
1,797 |
1,787 |
$33K |
| D1120 |
Prophylaxis - child |
530 |
527 |
$9K |
| D0274 |
Bitewings - four radiographic images |
219 |
219 |
$5K |