THE KIDS DENTIST LLC
NPI: 1407257108
· MEQUON, WI 53092
· Pediatric Dentist
· NPI assigned 09/12/2014
Provider Details
| Authorized Official | FISHER, SHANE (OWNER) |
| NPI Enumeration Date | 09/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
595 |
$24K |
| 2019 |
435 |
$9K |
| 2020 |
68 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
80 |
12 |
$13K |
| D1120 |
Prophylaxis - child |
335 |
315 |
$9K |
| D1206 |
Topical application of fluoride varnish |
327 |
311 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
154 |
152 |
$3K |
| D0272 |
Bitewings - two radiographic images |
105 |
102 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
38 |
$1K |
| D0240 |
|
55 |
28 |
$829.57 |