MURDO DENTAL LLC
NPI: 1508105040
· MURDO, SD 57559
· General Practice Dentistry
· NPI assigned 02/04/2013
$108K
Total Medicaid Paid
2,684
Beneficiary Records
Provider Details
| Authorized Official | SZANA, JAMES (DENTIST) |
| NPI Enumeration Date | 02/04/2013 |
Related Entities
Other providers sharing the same authorized official: SZANA, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,546 |
$70K |
| 2019 |
1,029 |
$35K |
| 2020 |
109 |
$4K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
559 |
559 |
$30K |
| D1206 |
Topical application of fluoride varnish |
749 |
749 |
$17K |
| D8670 |
Periodic orthodontic treatment visit |
12 |
12 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
566 |
566 |
$16K |
| D0274 |
Bitewings - four radiographic images |
413 |
413 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
216 |
216 |
$9K |
| D1120 |
Prophylaxis - child |
112 |
112 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
16 |
16 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
29 |
$480.53 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$450.12 |