DAVID E ANDERSEN DDS PA
NPI: 1346365095
· PARK RAPIDS, MN 56470
· General Practice Dentistry
· NPI assigned 03/20/2007
Provider Details
| Authorized Official | ANDERSEN, DAVID (DENTIST OWNER) |
| NPI Enumeration Date | 03/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
128 |
$398.61 |
| 2019 |
209 |
$6K |
| 2020 |
29 |
$783.42 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
242 |
239 |
$4K |
| D1110 |
Prophylaxis - adult |
57 |
56 |
$2K |
| D1120 |
Prophylaxis - child |
42 |
42 |
$783.78 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$204.39 |