CASSADY RIDER DDS PLC
NPI: 1487220877
· CHEROKEE, IA 51012
· Pediatric Dentist
· NPI assigned 05/27/2021
Provider Details
| Authorized Official | RIDER, CASSADY (OWNER) |
| NPI Enumeration Date | 05/27/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
65 |
$2K |
| 2022 |
59 |
$785.46 |
| 2023 |
42 |
$958.39 |
| 2024 |
62 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
135 |
132 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
81 |
78 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$261.05 |