ORDELHEIDE DENTAL INC
NPI: 1326424524
· PLAINS, MT 59859
· Dentist
· NPI assigned 08/11/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,317 |
$31K |
| 2019 |
695 |
$16K |
| 2020 |
628 |
$14K |
| 2021 |
288 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
966 |
925 |
$19K |
| D1120 |
Prophylaxis - child |
455 |
438 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
603 |
574 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
425 |
404 |
$7K |
| D1110 |
Prophylaxis - adult |
59 |
58 |
$3K |
| D0274 |
Bitewings - four radiographic images |
75 |
70 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
231 |
216 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$2K |
| D1351 |
Sealant - per tooth |
61 |
13 |
$2K |