WINONA PEDIATRIC DENTISTRY LLC
NPI: 1538525373
· WINONA, MN 55987
· Dental Clinic/Center
· NPI assigned 01/09/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: HANKS, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,815 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
463 |
455 |
$1K |
| D1120 |
Prophylaxis - child |
365 |
363 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
375 |
374 |
$947.20 |
| D0272 |
Bitewings - two radiographic images |
221 |
221 |
$199.85 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
84 |
61 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
48 |
$0.00 |
| D1351 |
Sealant - per tooth |
199 |
64 |
$0.00 |
| D1110 |
Prophylaxis - adult |
59 |
59 |
$0.00 |