APPLEWHITE DENTAL IOWA PC
NPI: 1215597703
· WEST DES MOINES, IA 50266
· Dentist
· NPI assigned 06/17/2019
Provider Details
| Authorized Official | LOSO, SHARON (CREDENTIALING SPECIALIST) |
| Parent Organization | APPLEWHITE DENTAL IOWA PC |
| NPI Enumeration Date | 06/17/2019 |
Related Entities
Other providers sharing the same authorized official: LOSO, SHARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
165 |
$3K |
| 2022 |
278 |
$6K |
| 2023 |
97 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
416 |
410 |
$7K |
| D1110 |
Prophylaxis - adult |
99 |
99 |
$3K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$304.00 |