ARKANSAS DENTAL PROFESSIONALS MONGRAIN PA
NPI: 1225179088
· FORT SMITH, AR 72903
· General Practice Dentistry
· NPI assigned 02/12/2007
Provider Details
| Authorized Official | KUHL, MARIE (DIRECTOR OF DENTAL INSURANCE) |
| NPI Enumeration Date | 02/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$763.63 |
| 2019 |
235 |
$5K |
| 2020 |
344 |
$9K |
| 2021 |
506 |
$11K |
| 2022 |
1,288 |
$29K |
| 2023 |
896 |
$20K |
| 2024 |
303 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
487 |
461 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
888 |
843 |
$21K |
| D1206 |
Topical application of fluoride varnish |
624 |
614 |
$11K |
| D0272 |
Bitewings - two radiographic images |
355 |
345 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
423 |
420 |
$7K |
| D0230 |
Intraoral - periapical each additional radiographic image |
544 |
347 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
222 |
189 |
$4K |
| D1120 |
Prophylaxis - child |
61 |
61 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
16 |
$1K |