CHANDA A. KENNEMER, DDS, PC
NPI: 1194900555
· STILLWATER, OK 74074
· Pediatric Dentist
· NPI assigned 01/04/2008
Provider Details
| Authorized Official | KENNEMER, CHANDA (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 01/04/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
169 |
$3K |
| 2022 |
864 |
$18K |
| 2023 |
621 |
$14K |
| 2024 |
28 |
$512.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
549 |
549 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
552 |
552 |
$8K |
| D1110 |
Prophylaxis - adult |
159 |
159 |
$7K |
| D1120 |
Prophylaxis - child |
132 |
132 |
$4K |
| D0272 |
Bitewings - two radiographic images |
115 |
115 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
99 |
99 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
76 |
66 |
$579.12 |