MAT-SU DENTAL CENTER, INC.
NPI: 1417177346
· WASILLA, AK 99654
· General Practice Dentistry
· NPI assigned 04/25/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
514 |
$44K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
172 |
96 |
$24K |
| D1110 |
Prophylaxis - adult |
163 |
140 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
121 |
110 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
12 |
$803.76 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$602.70 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
24 |
$508.03 |