RIVERDALE KIDDS PEDIATRIC DENTISTRY, PLLC
NPI: 1477025906
· COON RAPIDS, MN 55433
· Pediatric Dentist
· NPI assigned 12/21/2018
Provider Details
| Authorized Official | CARLSON, DEANN (FINANCIAL COORDINATOR) |
| NPI Enumeration Date | 12/21/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
565 |
$10K |
| 2020 |
430 |
$7K |
| 2021 |
538 |
$9K |
| 2022 |
554 |
$15K |
| 2023 |
441 |
$12K |
| 2024 |
176 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
995 |
966 |
$23K |
| D1206 |
Topical application of fluoride varnish |
937 |
908 |
$17K |
| D1120 |
Prophylaxis - child |
735 |
711 |
$16K |
| D0272 |
Bitewings - two radiographic images |
25 |
24 |
$533.64 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$164.40 |