OPEN DOOR HEALTH CENTER
NPI: 1356611404
· MANKATO, MN 56001
· Dental Clinic/Center
· NPI assigned 01/06/2012
Provider Details
Related Entities
Other providers sharing the same authorized official: JAEGER, DOUGLAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,219 |
$23K |
| 2019 |
50 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
214 |
194 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
50 |
42 |
$4K |
| D1120 |
Prophylaxis - child |
282 |
264 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
149 |
138 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
306 |
287 |
$0.00 |
| D1351 |
Sealant - per tooth |
268 |
76 |
$0.00 |