NPI: 1265665657 · GRAND ISLAND, NE 68803 · General Practice Dentistry · NPI assigned 09/01/2009
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 09/01/2009 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,919 | $69K |
| 2019 | 3,388 | $88K |
| 2020 | 1,424 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 2,112 | 1,971 | $44K |
| D0120 | Periodic oral evaluation - established patient | 1,372 | 1,368 | $30K |
| D1110 | Prophylaxis - adult | 827 | 824 | $27K |
| D1120 | Prophylaxis - child | 965 | 965 | $25K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 259 | 141 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 339 | 339 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 444 | 444 | $10K |
| D0274 | Bitewings - four radiographic images | 338 | 336 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 84 | 57 | $5K |
| D0330 | Panoramic radiographic image | 298 | 298 | $3K |
| D0140 | Limited oral evaluation - problem focused | 121 | 119 | $3K |
| D1999 | 257 | 210 | $3K | |
| D7140 | Extraction, erupted tooth or exposed root | 29 | 12 | $2K |
| D0272 | Bitewings - two radiographic images | 184 | 184 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 102 | 101 | $525.36 |