BETHANY J. OLSON DDS, LLC
NPI: 1508426818
· FREMONT, NE 68025
· General Practice Dentistry
· NPI assigned 06/18/2019
$604.65
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, BETHANY (DENTIST/OWNDER) |
| NPI Enumeration Date | 06/18/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$604.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$316.75 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$287.90 |