MCCLELLAN-SWANSON DENTAL CLINC, INC.
NPI: 1326127572
· MOBRIDGE, SD 57601
· General Practice Dentistry
· NPI assigned 11/06/2006
Provider Details
| Authorized Official | MCCLELLAN, MARC (PARTNER-SHAREHOLDER) |
| NPI Enumeration Date | 11/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
161 |
$6K |
| 2019 |
227 |
$8K |
| 2020 |
113 |
$4K |
| 2021 |
348 |
$13K |
| 2022 |
268 |
$10K |
| 2023 |
484 |
$22K |
| 2024 |
146 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
863 |
846 |
$27K |
| D1110 |
Prophylaxis - adult |
337 |
328 |
$19K |
| D0274 |
Bitewings - four radiographic images |
171 |
171 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
43 |
12 |
$6K |
| D1120 |
Prophylaxis - child |
105 |
105 |
$4K |
| D0272 |
Bitewings - two radiographic images |
83 |
83 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
132 |
126 |
$2K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$382.81 |