BLUESTEM DENTAL PLLC
NPI: 1275189607
· BENSON, MN 56215
· Dentist
· NPI assigned 08/12/2019
Provider Details
| Authorized Official | HILLEREN, ANTHONY (ORGANIZING MEMBER) |
| NPI Enumeration Date | 08/12/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$405.98 |
| 2020 |
84 |
$2K |
| 2021 |
90 |
$2K |
| 2022 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
120 |
120 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
107 |
106 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$279.50 |