NPI: 1558080804 · KINGSTON, PA 18704 · Pediatric Dentist · NPI assigned 08/22/2022
| Authorized Official | SCHLOESSER, KATHERINE (PEDIATRIC DENTIST) |
| Parent Organization | SPROUT PEDIATRIC DENTAL |
| NPI Enumeration Date | 08/22/2022 |
Other providers sharing the same authorized official: SCHLOESSER, KATHERINE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SPROUT PEDIATRIC DENTAL | LAKE ARIEL | PA | $5.70M |
| SPROUT PEDIATRIC DENTAL | PITTSTON | PA | $10K |
| SPROUT PEDIATRIC DENTAL | HONESDALE | PA | $8K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 4,156 | $155K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9920 | 661 | 624 | $81K | |
| D1120 | 512 | 504 | $15K | |
| D1206 | 769 | 732 | $14K | |
| D1351 | 146 | 120 | $10K | |
| D0120 | 477 | 471 | $10K | |
| D9230 | 136 | 124 | $6K | |
| D0603 | 458 | 454 | $5K | |
| D0272 | 196 | 194 | $3K | |
| D2392 | 31 | 26 | $3K | |
| D1330 | 461 | 457 | $2K | |
| D0150 | 89 | 87 | $2K | |
| D1110 | 38 | 38 | $1K | |
| D2391 | 14 | 13 | $970.92 | |
| D0220 | 112 | 108 | $961.77 | |
| D0230 | 32 | 28 | $405.97 | |
| D0274 | 12 | 12 | $358.72 | |
| D9110 | 12 | 12 | $344.76 |