FALL CREEK DENTAL
NPI: 1295955342
· FALL CREEK, WI 54742
· General Practice Dentistry
· NPI assigned 04/30/2007
Provider Details
| Authorized Official | PILGRIM, TONY (DENTIST) |
| NPI Enumeration Date | 04/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
413 |
$8K |
| 2019 |
580 |
$10K |
| 2020 |
356 |
$6K |
| 2021 |
694 |
$11K |
| 2022 |
92 |
$44.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
566 |
550 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
717 |
677 |
$9K |
| D1206 |
Topical application of fluoride varnish |
497 |
475 |
$6K |
| D1120 |
Prophylaxis - child |
131 |
127 |
$3K |
| D0274 |
Bitewings - four radiographic images |
138 |
134 |
$2K |
| D1351 |
Sealant - per tooth |
86 |
18 |
$1K |