KSS DENTAL GROUP PLLC
NPI: 1457704009
· CALDWELL, ID 83605
· General Practice Dentistry
· NPI assigned 07/19/2016
Provider Details
| Authorized Official | STUCKI, KEITH (MANAGER) |
| Parent Organization | KSS DENTAL GROUP PLLC |
| NPI Enumeration Date | 07/19/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
337 |
$3K |
| 2019 |
223 |
$3K |
| 2020 |
140 |
$2K |
| 2021 |
82 |
$0.00 |
| 2022 |
111 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
92 |
92 |
$6K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
444 |
444 |
$116.56 |
| D0274 |
Bitewings - four radiographic images |
71 |
71 |
$56.61 |
| D1208 |
Topical application of fluoride, excluding varnish |
219 |
219 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |