NORTH UNIVERSITY DENTAL
NPI: 1275391278
· FARGO, ND 58102
· Dental Clinic/Center
· NPI assigned 03/13/2024
Provider Details
| Authorized Official | BERGAN, CHAD (OWNER/DDS) |
| NPI Enumeration Date | 03/13/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
522 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
103 |
88 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
113 |
109 |
$3K |
| D1206 |
Topical application of fluoride varnish |
124 |
119 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
69 |
65 |
$3K |
| D0274 |
Bitewings - four radiographic images |
50 |
46 |
$2K |
| D1120 |
Prophylaxis - child |
22 |
22 |
$836.76 |
| D0220 |
Intraoral - periapical first radiographic image |
21 |
19 |
$314.37 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
16 |
$260.37 |