KOU DENTAL, LLC
NPI: 1346712940
· SCHERERVILLE, IN 46375
· General Practice Dentistry
· NPI assigned 12/20/2018
Provider Details
| Authorized Official | KOU, KEITH (DENTIST) |
| NPI Enumeration Date | 12/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
34 |
$2K |
| 2023 |
316 |
$11K |
| 2024 |
380 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
307 |
297 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
184 |
178 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
109 |
95 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
40 |
$601.22 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$344.24 |
| D0210 |
Intraoral - complete series of radiographic images |
43 |
15 |
$340.77 |