INTEGRA DENTAL PA
NPI: 1508201997
· ANDOVER, MN 55304
· Dentist
· NPI assigned 04/30/2013
Provider Details
| Authorized Official | ANDERSLAND, GINA (OWNER/DENTIST) |
| NPI Enumeration Date | 04/30/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$0.00 |
| 2020 |
12 |
$0.00 |
| 2021 |
30 |
$492.91 |
| 2023 |
44 |
$1K |
| 2024 |
15 |
$440.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
93 |
91 |
$2K |
| D1206 |
Topical application of fluoride varnish |
28 |
27 |
$356.56 |
| D1999 |
|
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |