STARK AND JOHNSON LLC
NPI: 1407105299
· LINCOLN, NE 68516
· Pediatric Dentist
· NPI assigned 09/07/2012
Provider Details
| Authorized Official | WALL, JENNI (INSURANCE AND BILLING MANAGER) |
| Parent Organization | STARK AND JOHNSON, LLC |
| NPI Enumeration Date | 09/07/2012 |
Related Entities
Other providers sharing the same authorized official: WALL, JENNI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
845 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
241 |
241 |
$11K |
| D1206 |
Topical application of fluoride varnish |
288 |
288 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
237 |
237 |
$9K |
| D0272 |
Bitewings - two radiographic images |
67 |
67 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$800.88 |