NPI: 1295010742 · MANDAN, ND 58554 · Dentist · NPI assigned 10/17/2011
| Authorized Official | BRADY, LEAH (DENTIST) |
| NPI Enumeration Date | 10/17/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 200 | $6K |
| 2019 | 150 | $4K |
| 2020 | 58 | $1K |
| 2021 | 58 | $1K |
| 2022 | 31 | $660.23 |
| 2023 | 18 | $474.95 |
| 2024 | 42 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 421 | 410 | $10K |
| D0330 | Panoramic radiographic image | 28 | 28 | $2K |
| D0274 | Bitewings - four radiographic images | 50 | 50 | $2K |
| D1206 | Topical application of fluoride varnish | 46 | 46 | $826.24 |
| D1120 | Prophylaxis - child | 12 | 12 | $349.47 |