RYAN R. FROST, DDS, PLLC
NPI: 1467056572
· GREENFIELD, IA 50849
· Dental Clinic/Center
· NPI assigned 11/30/2020
$120K
Total Medicaid Paid
Provider Details
| Authorized Official | FROST, RYAN (OWNER/DENTIST) |
| NPI Enumeration Date | 11/30/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,276 |
$25K |
| 2023 |
2,473 |
$56K |
| 2024 |
1,807 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,548 |
1,537 |
$29K |
| D1110 |
Prophylaxis - adult |
693 |
691 |
$26K |
| D1206 |
Topical application of fluoride varnish |
1,544 |
1,530 |
$25K |
| D1120 |
Prophylaxis - child |
835 |
826 |
$23K |
| D0274 |
Bitewings - four radiographic images |
229 |
229 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
536 |
497 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
65 |
39 |
$5K |
| D0272 |
Bitewings - two radiographic images |
81 |
81 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$339.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$281.50 |