JEFF A DALEN DDS PLLC
NPI: 1427074053
· WHITEFISH, MT 59937
· General Practice Dentistry
· NPI assigned 07/15/2006
Provider Details
| Authorized Official | DALEN, JEFF (OWNER) |
| NPI Enumeration Date | 07/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
285 |
$9K |
| 2019 |
252 |
$8K |
| 2020 |
153 |
$5K |
| 2021 |
223 |
$8K |
| 2022 |
304 |
$10K |
| 2023 |
166 |
$6K |
| 2024 |
59 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
473 |
465 |
$25K |
| D1206 |
Topical application of fluoride varnish |
705 |
694 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
156 |
154 |
$4K |
| D1120 |
Prophylaxis - child |
75 |
73 |
$3K |
| D0274 |
Bitewings - four radiographic images |
33 |
32 |
$1K |