EXCELSIOR FAMILY DENTAL
NPI: 1245315829
· EXCELSIOR, MN 55331
· General Practice Dentistry
· NPI assigned 10/25/2006
Provider Details
| Authorized Official | SCOTT, NORMAN (DENTIST) |
| NPI Enumeration Date | 10/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
16 |
$545.44 |
| 2021 |
49 |
$1K |
| 2022 |
15 |
$485.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$1K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$920.43 |