NPI: 1316368384 · FREMONT, NE 68025 · Dentist · NPI assigned 12/18/2013
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 12/18/2013 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,132 | $24K |
| 2019 | 830 | $18K |
| 2020 | 453 | $9K |
| 2021 | 453 | $8K |
| 2022 | 180 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 1,036 | 1,003 | $22K |
| D0120 | Periodic oral evaluation - established patient | 828 | 828 | $18K |
| D1120 | Prophylaxis - child | 375 | 375 | $9K |
| D1110 | Prophylaxis - adult | 169 | 169 | $5K |
| D1999 | 364 | 322 | $3K | |
| D1351 | Sealant - per tooth | 98 | 28 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 55 | 55 | $1K |
| D0272 | Bitewings - two radiographic images | 83 | 83 | $806.00 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $114.00 |
| D0220 | Intraoral - periapical first radiographic image | 15 | 14 | $87.36 |
| D0330 | Panoramic radiographic image | 12 | 12 | $72.00 |