YORK DENTAL ARTS CLINIC PC
NPI: 1275620403
· YORK, NE 68467
· General Practice Dentistry
· NPI assigned 10/09/2006
Provider Details
| Authorized Official | WIETING, DAVID (PRESIDENT) |
| NPI Enumeration Date | 10/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
273 |
$5K |
| 2019 |
245 |
$5K |
| 2020 |
555 |
$11K |
| 2021 |
663 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
438 |
438 |
$9K |
| D1206 |
Topical application of fluoride varnish |
303 |
299 |
$7K |
| D0272 |
Bitewings - two radiographic images |
400 |
400 |
$5K |
| D1120 |
Prophylaxis - child |
154 |
154 |
$4K |
| D1110 |
Prophylaxis - adult |
95 |
95 |
$3K |
| D1999 |
|
310 |
299 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
36 |
36 |
$824.04 |