WELNAK DENTAL PC
NPI: 1205351988
· KEENE, NH 03431
· General Practice Dentistry
· NPI assigned 08/03/2017
Provider Details
| Authorized Official | WELNAK, PETER (PRESIDENT) |
| NPI Enumeration Date | 08/03/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$600.00 |
| 2020 |
30 |
$988.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$806.30 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$548.52 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$234.00 |