NPI: 1215493390 · ORD, NE 68862 · General Practice Dentistry · NPI assigned 02/14/2019
| Authorized Official | BRINKMAN, ARIELLE (DOCTOR) |
| NPI Enumeration Date | 02/14/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 539 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 162 | 162 | $4K |
| D0120 | Periodic oral evaluation - established patient | 162 | 162 | $4K |
| D1110 | Prophylaxis - adult | 63 | 63 | $2K |
| D1120 | Prophylaxis - child | 72 | 72 | $2K |
| D0274 | Bitewings - four radiographic images | 25 | 25 | $537.92 |
| D1999 | 55 | 49 | $370.00 |