DISTINCTIVE DENTAL SERVICES, PA
NPI: 1457571952
· WINSTED, MN 55395
· Dental Clinic/Center
· NPI assigned 04/26/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: THOENNES, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
339 |
$3K |
| 2019 |
317 |
$10K |
| 2020 |
275 |
$7K |
| 2021 |
411 |
$10K |
| 2022 |
333 |
$18K |
| 2023 |
76 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
519 |
517 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
774 |
767 |
$20K |
| D0274 |
Bitewings - four radiographic images |
188 |
188 |
$6K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$863.52 |
| D1999 |
|
194 |
181 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
21 |
20 |
$0.00 |