K MICHELLE IMBODEN, DDS,PC
NPI: 1265040877
· FORREST CITY, AR 72335
· Dental Clinic/Center
· NPI assigned 07/20/2020
Provider Details
| Authorized Official | IMBODEN, KAREN (OWNER) |
| NPI Enumeration Date | 07/20/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
61 |
$1K |
| 2021 |
12 |
$421.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
45 |
40 |
$957.60 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$421.82 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
14 |
$279.30 |