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DENTAL HEALTH SERVICE OF NORTHERN MINNESOTA PA
DENTAL HEALTH SERVICE OF NORTHERN MINNESOTA PA
NPI: 1518086750
· HIBBING, MN 55746
· General Practice Dentistry
· NPI assigned 03/28/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
334 |
$751.77 |
| 2019 |
317 |
$9K |
| 2020 |
223 |
$6K |
| 2021 |
263 |
$7K |
| 2022 |
323 |
$12K |
| 2023 |
731 |
$27K |
| 2024 |
757 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,013 |
997 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
1,472 |
1,467 |
$34K |
| D0274 |
Bitewings - four radiographic images |
195 |
194 |
$7K |
| D1120 |
Prophylaxis - child |
119 |
119 |
$3K |
| D1206 |
Topical application of fluoride varnish |
135 |
135 |
$3K |
| D0330 |
Panoramic radiographic image |
14 |
13 |
$616.38 |