Home ›
OR ›
BEND ›
KEMPLE MEMORIAL CHILDREN'S DENTAL CLINIC
KEMPLE MEMORIAL CHILDREN'S DENTAL CLINIC
NPI: 1538516265
· BEND, OR 97703
· Voluntary or Charitable Agency
· NPI assigned 05/23/2016
Provider Details
| Authorized Official | SMITH, DEBBI (PROGRAM MANAGER) |
| NPI Enumeration Date | 05/23/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,118 |
$25K |
| 2019 |
1,247 |
$17K |
| 2020 |
55 |
$589.23 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0191 |
|
1,695 |
1,496 |
$16K |
| D1351 |
Sealant - per tooth |
2,273 |
461 |
$15K |
| D0601 |
|
1,047 |
971 |
$8K |
| D1206 |
Topical application of fluoride varnish |
203 |
197 |
$2K |
| D0602 |
|
190 |
186 |
$2K |
| D0603 |
|
12 |
12 |
$100.00 |