NORTH COUNTRY DENTAL
NPI: 1548873276
· CLOQUET, MN 55720
· General Practice Dentistry
· NPI assigned 08/24/2020
Provider Details
| Authorized Official | PUTNAM, CARRIE (RECEPTIONIST) |
| NPI Enumeration Date | 08/24/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
76 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
24 |
24 |
$925.98 |
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$855.97 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$358.88 |