TYLER FAMILY DENTAL PLLC
NPI: 1568162733
· TYLER, MN 56178
· Clinic/Center
· NPI assigned 03/07/2023
Provider Details
| Authorized Official | WILMES, KRISTAL (DOCTOR/OWNER) |
| NPI Enumeration Date | 03/07/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
168 |
$5K |
| 2024 |
437 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
227 |
227 |
$7K |
| D1206 |
Topical application of fluoride varnish |
171 |
170 |
$4K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$3K |
| D1330 |
|
49 |
49 |
$1K |
| D1354 |
|
45 |
13 |
$1K |
| D1310 |
|
49 |
49 |
$1K |