MAINSTREET DENTAL
NPI: 1528182342
· HOPKINS, MN 55343
· Dentist
· NPI assigned 03/19/2007
Provider Details
| Authorized Official | ROLFE, WILLIAM (OWNER DENTIST) |
| NPI Enumeration Date | 03/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
110 |
$5K |
| 2023 |
209 |
$8K |
| 2024 |
196 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2721 |
|
64 |
40 |
$57K |
| D0274 |
Bitewings - four radiographic images |
156 |
156 |
$5K |
| D1110 |
Prophylaxis - adult |
94 |
94 |
$5K |
| D0330 |
Panoramic radiographic image |
39 |
39 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
57 |
57 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
78 |
74 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$416.40 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$415.80 |