IDE, AMBER
NPI: 1487093381
· COZAD, NE 69130
· General Practice Dentistry
· NPI assigned 06/24/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
336 |
$10K |
| 2021 |
479 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
221 |
220 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
188 |
188 |
$6K |
| D1120 |
Prophylaxis - child |
123 |
123 |
$5K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$2K |
| D1999 |
|
207 |
153 |
$2K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$348.84 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$302.94 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$238.68 |