BENJAMIN R. SQUIRES, D.D.S.
NPI: 1477225845
· WATERLOO, IA 50702
· General Practice Dentistry
· NPI assigned 10/04/2021
$169K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
110 |
$1K |
| 2020 |
294 |
$4K |
| 2021 |
1,060 |
$16K |
| 2022 |
2,110 |
$48K |
| 2023 |
2,332 |
$56K |
| 2024 |
1,685 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,742 |
1,717 |
$58K |
| D0120 |
Periodic oral evaluation - established patient |
2,815 |
2,775 |
$51K |
| D1206 |
Topical application of fluoride varnish |
2,154 |
2,124 |
$35K |
| D1120 |
Prophylaxis - child |
630 |
617 |
$18K |
| D0274 |
Bitewings - four radiographic images |
200 |
199 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
36 |
$397.91 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$337.26 |