MC DENTAL CORPORATION, PC
NPI: 1326515776
· WILLISTON, ND 58801
· Dental Clinic/Center
· NPI assigned 10/24/2018
Provider Details
| Authorized Official | CASPERSON, BROCK (OWNER-PRESIDENT/DOCTOR) |
| NPI Enumeration Date | 10/24/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
91 |
$3K |
| 2020 |
331 |
$13K |
| 2021 |
349 |
$12K |
| 2022 |
328 |
$8K |
| 2023 |
270 |
$7K |
| 2024 |
258 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
572 |
540 |
$15K |
| D1206 |
Topical application of fluoride varnish |
590 |
550 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
64 |
42 |
$7K |
| D1120 |
Prophylaxis - child |
194 |
177 |
$6K |
| D1110 |
Prophylaxis - adult |
113 |
106 |
$6K |
| D0274 |
Bitewings - four radiographic images |
77 |
70 |
$3K |
| D0272 |
Bitewings - two radiographic images |
17 |
16 |
$486.56 |