MEDFORD DENTAL CLINIC SC
NPI: 1548325699
· MEDFORD, WI 54451
· General Practice Dentistry
· NPI assigned 12/27/2006
Provider Details
| Authorized Official | MISKULIN, BETTY (SECRETARY) |
| NPI Enumeration Date | 12/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
65 |
$1K |
| 2019 |
13 |
$322.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
26 |
25 |
$661.70 |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$458.08 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$275.66 |