MADISON DENTAL CLINIC PLLC
NPI: 1568238509
· MADISON, MN 56256
· Dental Clinic/Center
· NPI assigned 11/30/2023
Provider Details
| Authorized Official | STONE, ARIEL (OFFICE MANAGER) |
| NPI Enumeration Date | 11/30/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
36 |
$1K |
| 2024 |
258 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
152 |
152 |
$5K |
| D1110 |
Prophylaxis - adult |
72 |
72 |
$4K |
| D1206 |
Topical application of fluoride varnish |
70 |
70 |
$2K |