STEVENS DENTAL GROUP, PC
NPI: 1235396383
· PLENTYWOOD, MT 59254
· General Practice Dentistry
· NPI assigned 05/16/2008
Provider Details
| Authorized Official | STEVENS, MONTE (OWNER) |
| NPI Enumeration Date | 05/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
314 |
$8K |
| 2019 |
288 |
$8K |
| 2020 |
115 |
$4K |
| 2021 |
46 |
$1K |
| 2022 |
126 |
$4K |
| 2023 |
99 |
$2K |
| 2024 |
119 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
664 |
551 |
$14K |
| D1110 |
Prophylaxis - adult |
100 |
89 |
$5K |
| D1120 |
Prophylaxis - child |
123 |
119 |
$5K |
| D1206 |
Topical application of fluoride varnish |
195 |
191 |
$4K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$536.92 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$306.04 |