HAVRE DENTAL GROUP INC
NPI: 1356114318
· HAVRE, MT 59501
· General Practice Dentistry
· NPI assigned 11/01/2023
Provider Details
| Authorized Official | OLSON, GERALD (PRESIDENT) |
| NPI Enumeration Date | 11/01/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
16 |
$251.20 |
| 2024 |
704 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
271 |
254 |
$7K |
| D1120 |
Prophylaxis - child |
130 |
122 |
$5K |
| D1206 |
Topical application of fluoride varnish |
261 |
248 |
$4K |
| D1110 |
Prophylaxis - adult |
58 |
49 |
$3K |