3D DENTAL PC
NPI: 1538172192
· OMAHA, NE 68130
· Dentist
· NPI assigned 08/14/2006
Provider Details
| Authorized Official | DEWISPELARE, DEAN (OWNER PRESIDENT) |
| NPI Enumeration Date | 08/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
31 |
$620.40 |
| 2020 |
443 |
$6K |
| 2021 |
314 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
198 |
197 |
$4K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
231 |
119 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
147 |
137 |
$820.96 |
| D1999 |
|
71 |
57 |
$700.00 |
| D1120 |
Prophylaxis - child |
24 |
24 |
$642.84 |
| D0274 |
Bitewings - four radiographic images |
33 |
33 |
$612.93 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
26 |
$612.54 |
| D0140 |
Limited oral evaluation - problem focused |
17 |
15 |
$336.60 |