ROSTVOLD, KIMBERLY
NPI: 1417479700
· HERMANTOWN, MN 55811
· Dentist
· NPI assigned 07/09/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16 |
16 |
$485.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$340.25 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$320.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$208.00 |