HUNSTAD TOP GUM DENTAL LLC
NPI: 1497435978
· TEA, SD 57064
· General Practice Dentistry
· NPI assigned 07/20/2023
Provider Details
| Authorized Official | HUNSTAD, CLARK (DENTIST) |
| NPI Enumeration Date | 07/20/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
289 |
$23K |
| 2024 |
546 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
175 |
112 |
$28K |
| D1110 |
Prophylaxis - adult |
185 |
185 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
199 |
199 |
$8K |
| D1206 |
Topical application of fluoride varnish |
115 |
115 |
$4K |
| D1120 |
Prophylaxis - child |
65 |
65 |
$3K |
| D0274 |
Bitewings - four radiographic images |
66 |
66 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
14 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$725.56 |