NPI: 1285243733 · WORTHINGTON, MN 56187 · Dentist · NPI assigned 07/29/2020
| Authorized Official | SORENSEN, GRANT (DENTIST) |
| NPI Enumeration Date | 07/29/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,699 | $60K |
| 2021 | 815 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 672 | 672 | $24K |
| D1206 | Topical application of fluoride varnish | 636 | 636 | $17K |
| D1120 | Prophylaxis - child | 431 | 431 | $16K |
| D1110 | Prophylaxis - adult | 233 | 233 | $13K |
| D0274 | Bitewings - four radiographic images | 197 | 197 | $9K |
| D0272 | Bitewings - two radiographic images | 159 | 159 | $5K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 33 | 28 | $3K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 99 | 90 | $2K |
| D1351 | Sealant - per tooth | 54 | 12 | $2K |