IMMANUEL DENTAL
NPI: 1417070509
· FARMINGTON, MN 55024
· Dentist
· NPI assigned 04/06/2007
Provider Details
| Authorized Official | DUNGY, LINDEN (C.E.O.) |
| NPI Enumeration Date | 04/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
173 |
$83.82 |
| 2019 |
304 |
$7K |
| 2020 |
281 |
$6K |
| 2021 |
214 |
$5K |
| 2022 |
163 |
$7K |
| 2023 |
444 |
$16K |
| 2024 |
341 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
522 |
519 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
956 |
949 |
$21K |
| D1206 |
Topical application of fluoride varnish |
170 |
170 |
$3K |
| D0274 |
Bitewings - four radiographic images |
104 |
104 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$2K |
| D1120 |
Prophylaxis - child |
73 |
73 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$176.35 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$152.88 |