NELSON DENTAL CLINIC PC
NPI: 1518463892
· SISSETON, SD 57262
· Dentist
· NPI assigned 04/04/2018
Provider Details
| Authorized Official | NELSON, EVAN (DOCTOR) |
| NPI Enumeration Date | 04/04/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$1K |
| 2019 |
14 |
$360.26 |
| 2022 |
12 |
$295.79 |
| 2023 |
39 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
27 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
55 |
55 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$784.56 |