ALEX BALABAN DDS PC
NPI: 1245322783
· CARMEL, IN 46032
· General Practice Dentistry
· NPI assigned 09/29/2006
Provider Details
| Authorized Official | BALABAN, ALEX (PRESIDENT DENTIST) |
| NPI Enumeration Date | 09/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
121 |
$138.07 |
| 2019 |
80 |
$2K |
| 2020 |
15 |
$296.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
130 |
117 |
$1K |
| D1110 |
Prophylaxis - adult |
30 |
28 |
$644.65 |
| D1206 |
Topical application of fluoride varnish |
56 |
50 |
$422.50 |