ONA R ERDT, DMD, PLLC
NPI: 1346976107
· SAINT JOHNS, MI 48879
· Dental Clinic/Center
· NPI assigned 07/25/2022
Provider Details
| Authorized Official | ERDT, ONA (OWNER DENTIST) |
| NPI Enumeration Date | 07/25/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$302.98 |
| 2023 |
345 |
$8K |
| 2024 |
334 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
144 |
144 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
210 |
210 |
$5K |
| D1206 |
Topical application of fluoride varnish |
192 |
192 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
65 |
65 |
$835.42 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$686.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$635.25 |
| D0230 |
Intraoral - periapical each additional radiographic image |
53 |
51 |
$426.41 |