MELISSA BRANDNER PROF. LLC
NPI: 1518355841
· TEA, SD 57064
· Dentist
· NPI assigned 01/09/2015
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
109 |
$4K |
| 2022 |
439 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
200 |
200 |
$6K |
| D1110 |
Prophylaxis - adult |
90 |
90 |
$5K |
| D1206 |
Topical application of fluoride varnish |
164 |
164 |
$4K |
| D1120 |
Prophylaxis - child |
80 |
80 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$617.98 |