LONE OAK FAMILY DENTISTRY
NPI: 1447583778
· WARREN, MN 56762
· Exclusive Provider Organization
· NPI assigned 09/18/2009
Provider Details
| Authorized Official | HANEL, TRAVIS (OWNER) |
| Parent Organization | KITTSON DENTAL CLINIC, PA |
| NPI Enumeration Date | 09/18/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
208 |
$0.00 |
| 2019 |
109 |
$2K |
| 2020 |
142 |
$1K |
| 2021 |
139 |
$2K |
| 2022 |
424 |
$16K |
| 2023 |
437 |
$17K |
| 2024 |
254 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
696 |
689 |
$19K |
| D1110 |
Prophylaxis - adult |
304 |
301 |
$15K |
| D1206 |
Topical application of fluoride varnish |
517 |
517 |
$12K |
| D0274 |
Bitewings - four radiographic images |
29 |
29 |
$1K |
| D1120 |
Prophylaxis - child |
37 |
37 |
$1K |
| D1999 |
|
130 |
121 |
$0.00 |