BRYN GARDD DENTAL CARE, LTD.
NPI: 1366612947
· HUTCHINSON, MN 55350
· General Practice Dentistry
· NPI assigned 03/10/2008
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | LYKE, THOMAS (VICE PRESIDENT) |
| NPI Enumeration Date | 03/10/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
391 |
$2K |
| 2019 |
390 |
$11K |
| 2020 |
328 |
$10K |
| 2021 |
360 |
$12K |
| 2022 |
449 |
$20K |
| 2023 |
655 |
$27K |
| 2024 |
465 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
920 |
903 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,320 |
1,294 |
$38K |
| D1206 |
Topical application of fluoride varnish |
464 |
454 |
$10K |
| D0274 |
Bitewings - four radiographic images |
223 |
218 |
$6K |
| D1120 |
Prophylaxis - child |
111 |
110 |
$3K |