WINDOM FAMILY DENTISTRY PLLC
NPI: 1215606355
· WINDOM, MN 56101
· General Practice Dentistry
· NPI assigned 09/11/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
191 |
$8K |
| 2023 |
696 |
$32K |
| 2024 |
474 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
252 |
252 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
314 |
313 |
$11K |
| D0330 |
Panoramic radiographic image |
127 |
126 |
$11K |
| D1206 |
Topical application of fluoride varnish |
345 |
340 |
$9K |
| D0274 |
Bitewings - four radiographic images |
200 |
200 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
56 |
27 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$1K |
| D1120 |
Prophylaxis - child |
28 |
28 |
$1K |