ROSTVOLD, JAMES
NPI: 1386712537
· GRAND RAPIDS, MN 55744
· Dentist
· NPI assigned 12/04/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
152 |
$0.00 |
| 2019 |
12 |
$1K |
| 2020 |
75 |
$4K |
| 2021 |
455 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
194 |
194 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
112 |
112 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
179 |
179 |
$4K |
| D1206 |
Topical application of fluoride varnish |
58 |
58 |
$2K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
20 |
20 |
$853.29 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$567.90 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$0.00 |
| D9986 |
|
12 |
12 |
$0.00 |