ULSTAD, BRANDON
NPI: 1376587907
· MADISON, MN 56256
· Dentist
· NPI assigned 06/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
113 |
$404.88 |
| 2019 |
222 |
$6K |
| 2020 |
149 |
$4K |
| 2021 |
218 |
$6K |
| 2022 |
294 |
$11K |
| 2023 |
452 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
676 |
674 |
$18K |
| D1110 |
Prophylaxis - adult |
317 |
316 |
$15K |
| D1206 |
Topical application of fluoride varnish |
390 |
389 |
$9K |
| D1120 |
Prophylaxis - child |
41 |
41 |
$1K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$732.34 |