WEST BEND DENTAL CENTER SC
NPI: 1427201599
· WEST BEND, WI 53095
· General Practice Dentistry
· NPI assigned 11/03/2008
Provider Details
| Authorized Official | SALZER, CATHERINE (BUSINESS MANAGER) |
| NPI Enumeration Date | 11/03/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
733 |
$34K |
| 2019 |
264 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
263 |
248 |
$15K |
| D1208 |
Topical application of fluoride, excluding varnish |
275 |
253 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
190 |
186 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
88 |
65 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
42 |
$2K |
| D0272 |
Bitewings - two radiographic images |
69 |
66 |
$2K |
| D1110 |
Prophylaxis - adult |
30 |
24 |
$2K |
| D1351 |
Sealant - per tooth |
37 |
12 |
$2K |