SERGEANT BLUFF DENTAL, PLLC
NPI: 1497084115
· SERGEANT BLUFF, IA 51054
· General Practice Dentistry
· NPI assigned 12/08/2009
Provider Details
| Authorized Official | HUSEN, RENEE (DENTIST) |
| NPI Enumeration Date | 12/08/2009 |
Related Entities
Other providers sharing the same authorized official: HUSEN, RENEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
209 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
133 |
132 |
$3K |
| D1110 |
Prophylaxis - adult |
20 |
19 |
$920.19 |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$610.96 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$498.75 |