HOMETOWN DENTAL, PLLC
NPI: 1518628130
· DICKINSON, ND 58601
· Dental Clinic/Center
· NPI assigned 01/05/2022
Provider Details
| Authorized Official | PETERS, THOMAS (OWNER) |
| NPI Enumeration Date | 01/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
70 |
$2K |
| 2023 |
21 |
$484.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
71 |
45 |
$2K |
| D1206 |
Topical application of fluoride varnish |
20 |
12 |
$276.10 |