BOELTER, TERRY
NPI: 1568538775
· SANBORN, IA 51248
· General Practice Dentistry
· NPI assigned 11/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
416 |
$12K |
| 2021 |
70 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
189 |
185 |
$5K |
| D1110 |
Prophylaxis - adult |
105 |
102 |
$4K |
| D1206 |
Topical application of fluoride varnish |
154 |
151 |
$3K |
| D1120 |
Prophylaxis - child |
38 |
38 |
$2K |