NPI: 1497386973 · KALISPELL, MT 59901 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 300 | $15K |
| 2021 | 1,298 | $58K |
| 2022 | 1,876 | $81K |
| 2023 | 3,139 | $115K |
| 2024 | 2,177 | $77K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 1,559 | 1,487 | $75K | |
| D2392 | 528 | 288 | $63K | |
| D1320 | 1,071 | 1,008 | $37K | |
| D0140 | 959 | 866 | $31K | |
| D0120 | 1,365 | 1,307 | $31K | |
| D1206 | 1,316 | 1,240 | $25K | |
| D0274 | 747 | 712 | $24K | |
| D0150 | 492 | 473 | $17K | |
| D2393 | 56 | 41 | $9K | |
| D2740 | 12 | 12 | $8K | |
| D0220 | 332 | 296 | $5K | |
| D0330 | 101 | 93 | $5K | |
| D0367 | 13 | 13 | $4K | |
| D2950 | 28 | 28 | $3K | |
| D3120 | 81 | 49 | $3K | |
| D2391 | 49 | 29 | $2K | |
| D4910 | 41 | 40 | $2K | |
| D4355 | 12 | 12 | $1K | |
| D1120 | 28 | 26 | $651.42 |