BOHNSACK FAMILY DENTISTRY, PLLC
NPI: 1396081782
· COKATO, MN 55321
· General Practice Dentistry
· NPI assigned 12/12/2012
Provider Details
| Authorized Official | BOHNSACK, ANDREW (OWNER/PRESIDENT) |
| NPI Enumeration Date | 12/12/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2019 |
41 |
$870.40 |
| 2020 |
15 |
$404.71 |
| 2022 |
92 |
$3K |
| 2023 |
72 |
$2K |
| 2024 |
67 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
191 |
189 |
$6K |
| D1206 |
Topical application of fluoride varnish |
55 |
52 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$616.84 |
| D1120 |
Prophylaxis - child |
15 |
12 |
$608.46 |
| D1330 |
|
12 |
12 |
$393.86 |
| D1310 |
|
12 |
12 |
$279.20 |