CORRIDOR FAMILY DENTISTRY, PLLC
NPI: 1427380781
· HIAWATHA, IA 52233
· General Practice Dentistry
· NPI assigned 02/11/2010
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, BRAD (DENTIST) |
| NPI Enumeration Date | 02/11/2010 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, BRAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
314 |
$9K |
| 2019 |
605 |
$16K |
| 2020 |
627 |
$16K |
| 2021 |
550 |
$13K |
| 2022 |
937 |
$25K |
| 2023 |
1,338 |
$32K |
| 2024 |
888 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,949 |
1,899 |
$70K |
| D0120 |
Periodic oral evaluation - established patient |
1,323 |
1,295 |
$22K |
| D0274 |
Bitewings - four radiographic images |
549 |
538 |
$13K |
| D1206 |
Topical application of fluoride varnish |
746 |
722 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
317 |
309 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
195 |
181 |
$5K |
| D0210 |
Intraoral - complete series of radiographic images |
62 |
61 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
118 |
113 |
$1K |