NODAWAY VALLEY DENTAL PLC
NPI: 1548619323
· GREENFIELD, IA 50849
· Dental Clinic/Center
· NPI assigned 06/13/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHROEDER, TAYLOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,577 |
$36K |
| 2019 |
16 |
$180.07 |
| 2023 |
15 |
$352.47 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
362 |
347 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
512 |
484 |
$9K |
| D1120 |
Prophylaxis - child |
203 |
190 |
$5K |
| D0274 |
Bitewings - four radiographic images |
177 |
169 |
$4K |
| D1206 |
Topical application of fluoride varnish |
163 |
156 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
73 |
67 |
$1K |
| D0330 |
Panoramic radiographic image |
30 |
29 |
$899.57 |
| D1208 |
Topical application of fluoride, excluding varnish |
46 |
41 |
$565.88 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
12 |
$307.08 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$212.81 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$152.74 |