PRECISION DENTAL CARE
NPI: 1437860434
· TEA, SD 57064
· General Practice Dentistry
· NPI assigned 12/09/2022
Provider Details
| Authorized Official | BROESDER, ALEX (DENTIST/OWNER) |
| NPI Enumeration Date | 12/09/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
504 |
$20K |
| 2024 |
646 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
133 |
133 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
206 |
206 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
322 |
313 |
$12K |
| D1110 |
Prophylaxis - adult |
115 |
114 |
$7K |
| D1206 |
Topical application of fluoride varnish |
223 |
216 |
$6K |
| D1120 |
Prophylaxis - child |
115 |
110 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
23 |
12 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$289.88 |