HOLDREGE FAMILY DENTAL, L.L.C
NPI: 1275778227
· HOLDREGE, NE 68949
· General Practice Dentistry
· NPI assigned 12/04/2008
Provider Details
| Authorized Official | NELSEN, THOMAS (OWNER) |
| NPI Enumeration Date | 12/04/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
576 |
$13K |
| 2019 |
373 |
$9K |
| 2020 |
340 |
$8K |
| 2021 |
756 |
$13K |
| 2022 |
1,340 |
$22K |
| 2023 |
616 |
$12K |
| 2024 |
105 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,391 |
1,386 |
$32K |
| D1110 |
Prophylaxis - adult |
616 |
614 |
$20K |
| D1999 |
|
1,498 |
1,309 |
$15K |
| D1206 |
Topical application of fluoride varnish |
401 |
400 |
$8K |
| D1120 |
Prophylaxis - child |
117 |
116 |
$3K |
| D0274 |
Bitewings - four radiographic images |
43 |
43 |
$719.40 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$594.28 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$227.70 |