DENTAL HEALTH CENTER, DDS, PA
NPI: 1467405456
· FARMINGTON, MN 55024
· Dentist
· NPI assigned 05/18/2006
$470.56
Total Medicaid Paid
Provider Details
| Authorized Official | FALKOWSKI, JON (DENTIST OWNER) |
| NPI Enumeration Date | 05/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$95.13 |
| 2023 |
14 |
$375.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$470.56 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$0.00 |