MODERN DENTAL PROFESSIONALS, MINNESOTA PC
NPI: 1427298637
· FARIBAULT, MN 55021
· Dentist
· NPI assigned 02/27/2009
Provider Details
| Authorized Official | PELKE, LORI (PROFESSIONAL SERVICES) |
| NPI Enumeration Date | 02/27/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
211 |
$829.73 |
| 2021 |
76 |
$763.71 |
| 2022 |
48 |
$908.80 |
| 2023 |
68 |
$1K |
| 2024 |
14 |
$308.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
112 |
108 |
$2K |
| D1110 |
Prophylaxis - adult |
51 |
49 |
$1K |
| D1206 |
Topical application of fluoride varnish |
55 |
53 |
$786.35 |
| D1999 |
|
199 |
124 |
$5.56 |