STEPHENSON DENTAL INC
NPI: 1396810339
· NEVADA, IA 50201
· Dentist
· NPI assigned 11/22/2006
$132K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
858 |
$19K |
| 2019 |
816 |
$19K |
| 2020 |
551 |
$13K |
| 2021 |
644 |
$16K |
| 2022 |
717 |
$17K |
| 2023 |
1,035 |
$26K |
| 2024 |
846 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,541 |
2,410 |
$47K |
| D1110 |
Prophylaxis - adult |
1,250 |
1,192 |
$44K |
| D1120 |
Prophylaxis - child |
755 |
724 |
$22K |
| D0274 |
Bitewings - four radiographic images |
414 |
387 |
$9K |
| D1206 |
Topical application of fluoride varnish |
495 |
480 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$482.50 |