ERIKA M THEISEN DDS PLLC
NPI: 1538548573
· SAUK RAPIDS, MN 56379
· General Practice Dentistry
· NPI assigned 05/22/2015
Provider Details
| Authorized Official | THEISEN, ERIKA (OWNER) |
| NPI Enumeration Date | 05/22/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
302 |
$207.63 |
| 2019 |
343 |
$10K |
| 2020 |
165 |
$5K |
| 2021 |
236 |
$6K |
| 2022 |
305 |
$11K |
| 2023 |
665 |
$25K |
| 2024 |
551 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
798 |
796 |
$33K |
| D0120 |
Periodic oral evaluation - established patient |
986 |
985 |
$26K |
| D1206 |
Topical application of fluoride varnish |
650 |
649 |
$15K |
| D0274 |
Bitewings - four radiographic images |
80 |
80 |
$3K |
| D1120 |
Prophylaxis - child |
53 |
53 |
$2K |