NPI: 1376941096 · KALISPELL, MT 59901 · Clinic/Center · NPI assigned 12/11/2014
| Authorized Official | BRISENDINE, CARL (OWNER/DENTURES) |
| NPI Enumeration Date | 12/11/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 472 | $148K |
| 2019 | 253 | $8K |
| 2020 | 246 | $8K |
| 2021 | 279 | $10K |
| 2022 | 219 | $10K |
| 2023 | 185 | $6K |
| 2024 | 73 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 1,372 | 1,294 | $44K |
| D5110 | 49 | 44 | $36K | |
| D5140 | 38 | 35 | $30K | |
| D5214 | 24 | 20 | $20K | |
| D5750 | 78 | 67 | $18K | |
| D5120 | 21 | 19 | $16K | |
| D5130 | 20 | 19 | $15K | |
| D5751 | 55 | 46 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 70 | 67 | $2K |