BEMIDJI DENTAL CLINIC
NPI: 1245321389
· BEMIDJI, MN 56601
· General Practice Dentistry
· NPI assigned 09/27/2006
Provider Details
| Authorized Official | WELLNER, GEORGE (PRESIDENT) |
| NPI Enumeration Date | 09/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,187 |
$1K |
| 2019 |
218 |
$4K |
| 2020 |
82 |
$1K |
| 2021 |
215 |
$3K |
| 2022 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
698 |
691 |
$7K |
| D1110 |
Prophylaxis - adult |
244 |
243 |
$2K |
| D1206 |
Topical application of fluoride varnish |
304 |
304 |
$2K |
| D0274 |
Bitewings - four radiographic images |
104 |
103 |
$179.36 |
| D0220 |
Intraoral - periapical first radiographic image |
140 |
137 |
$19.14 |
| D0230 |
Intraoral - periapical each additional radiographic image |
152 |
76 |
$19.08 |
| D1330 |
|
74 |
74 |
$0.00 |
| D1120 |
Prophylaxis - child |
41 |
41 |
$0.00 |