TUDOR DENTAL GROUP LLC
NPI: 1366670093
· ANCHORAGE, AK 99503
· General Practice Dentistry
· NPI assigned 07/01/2009
Provider Details
| Authorized Official | MJOLSNES, SANDRA (OFFICE MANAGER) |
| NPI Enumeration Date | 07/01/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$4K |
| 2019 |
26 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
61 |
59 |
$3K |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$779.40 |