BLUE DRAGONFLY LLC
NPI: 1285737882
· CAMBRIDGE, NE 69022
· General Practice Dentistry
· NPI assigned 09/07/2006
Provider Details
| Authorized Official | COPE, DEAN (OWNER OFFICER) |
| NPI Enumeration Date | 09/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
47 |
$966.60 |
| 2021 |
40 |
$922.04 |
| 2022 |
14 |
$359.66 |
| 2024 |
15 |
$431.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
88 |
88 |
$2K |
| D1120 |
Prophylaxis - child |
16 |
16 |
$405.75 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$148.83 |