LIEBOLD DENTAL PLLC
NPI: 1316483050
· BOTTINEAU, ND 58318
· Dentist
· NPI assigned 01/18/2017
Provider Details
| Authorized Official | LIEBOLD, DAVID (DIRECTOR) |
| NPI Enumeration Date | 01/18/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$4K |
| 2019 |
107 |
$4K |
| 2020 |
72 |
$2K |
| 2021 |
25 |
$671.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
137 |
132 |
$3K |
| D1110 |
Prophylaxis - adult |
45 |
43 |
$3K |
| D1206 |
Topical application of fluoride varnish |
117 |
110 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$633.37 |