JAMES ROSTVOLD
NPI: 1205584307
· GRAND RAPIDS, MN 55744
· General Practice Dentistry
· NPI assigned 03/17/2022
Provider Details
| Authorized Official | MORRIS, JENNY (FRONT DESK) |
| NPI Enumeration Date | 03/17/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
421 |
$19K |
| 2023 |
450 |
$23K |
| 2024 |
238 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
486 |
484 |
$21K |
| D1110 |
Prophylaxis - adult |
196 |
195 |
$17K |
| D1120 |
Prophylaxis - child |
127 |
127 |
$8K |
| D1206 |
Topical application of fluoride varnish |
192 |
192 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
25 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
55 |
$985.99 |
| D9986 |
|
26 |
26 |
$520.00 |