GREGORY K. BOLLEN, DDS, P.A.
NPI: 1518379452
· JACKSONVILLE, AR 72076
· General Practice Dentistry
· NPI assigned 05/27/2014
Provider Details
| Authorized Official | BROOKS, LISA (OFFICE MGR.) |
| NPI Enumeration Date | 05/27/2014 |
Related Entities
Other providers sharing the same authorized official: BROOKS, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
87 |
$3K |
| 2020 |
26 |
$975.65 |
| 2021 |
341 |
$12K |
| 2022 |
1,040 |
$30K |
| 2023 |
969 |
$26K |
| 2024 |
878 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
584 |
566 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
755 |
729 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
449 |
412 |
$14K |
| D0272 |
Bitewings - two radiographic images |
620 |
603 |
$13K |
| D1206 |
Topical application of fluoride varnish |
379 |
365 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
350 |
323 |
$5K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
49 |
29 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
41 |
41 |
$3K |
| D0330 |
Panoramic radiographic image |
41 |
41 |
$627.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$410.40 |
| D0601 |
|
24 |
24 |
$115.00 |
| D0602 |
|
21 |
18 |
$100.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
12 |
$85.50 |