OTTO AND KOTECKI FAMILY DENTISTRY PLC
NPI: 1437244480
· MASON CITY, IA 50401
· General Practice Dentistry
· NPI assigned 10/04/2006
Provider Details
| Authorized Official | HUISMAN, JERALYN (PRACTICE COORDINATOR) |
| NPI Enumeration Date | 10/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
239 |
$4K |
| 2019 |
237 |
$6K |
| 2020 |
159 |
$3K |
| 2021 |
148 |
$3K |
| 2022 |
68 |
$1K |
| 2023 |
68 |
$1K |
| 2024 |
19 |
$137.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
421 |
380 |
$8K |
| D1206 |
Topical application of fluoride varnish |
368 |
325 |
$6K |
| D1120 |
Prophylaxis - child |
110 |
101 |
$3K |
| D1110 |
Prophylaxis - adult |
27 |
24 |
$968.79 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$271.93 |