HARMON AND OTTESON DENTAL BONANZA LLC
NPI: 1508551706
· LAS VEGAS, NV 89101
· Dental Clinic/Center
· NPI assigned 04/05/2023
1,583
Beneficiary Records
Provider Details
| Authorized Official | EBERT, KENDRA (OPERATIONS PARTNER) |
| NPI Enumeration Date | 04/05/2023 |
Related Entities
Other providers sharing the same authorized official: EBERT, KENDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
342 |
$12K |
| 2024 |
1,375 |
$35K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
405 |
386 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
181 |
174 |
$10K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
118 |
65 |
$6K |
| D0274 |
Bitewings - four radiographic images |
215 |
203 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
300 |
280 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
85 |
84 |
$3K |
| D1120 |
Prophylaxis - child |
63 |
62 |
$3K |
| D0330 |
Panoramic radiographic image |
81 |
81 |
$3K |
| D1206 |
Topical application of fluoride varnish |
65 |
63 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
204 |
185 |
$1K |