NORTHERN DENTAL PARTNERS AND ASSOCIATES PLLC
NPI: 1396497434
· GRAND RAPIDS, MN 55744
· General Practice Dentistry
· NPI assigned 01/20/2022
Provider Details
| Authorized Official | MISKOVICH, PETER (DENTIST/PARTNER) |
| NPI Enumeration Date | 01/20/2022 |
Related Entities
Other providers sharing the same authorized official: MISKOVICH, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
966 |
$16K |
| 2023 |
887 |
$7K |
| 2024 |
1,016 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
582 |
574 |
$19K |
| D1110 |
Prophylaxis - adult |
139 |
139 |
$10K |
| D1206 |
Topical application of fluoride varnish |
319 |
316 |
$7K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$557.69 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$353.02 |
| D9985 |
|
1,793 |
1,551 |
$0.00 |