HENDRICKS, DEMI
NPI: 1336693290
· DAVENPORT, IA 52801
· General Practice Dentistry
· NPI assigned 08/09/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
104 |
$6K |
| 2019 |
660 |
$16K |
| 2020 |
67 |
$3K |
| 2022 |
212 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
421 |
411 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
41 |
40 |
$5K |
| D0603 |
|
25 |
25 |
$3K |
| D1120 |
Prophylaxis - child |
224 |
218 |
$2K |
| D1206 |
Topical application of fluoride varnish |
210 |
208 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$2K |
| D0999 |
Unspecified diagnostic procedure, by report |
13 |
12 |
$1K |
| D1110 |
Prophylaxis - adult |
65 |
60 |
$826.98 |
| D1330 |
|
31 |
31 |
$0.00 |