CARL A. TROUT, DDS, PC
NPI: 1568873032
· FARGO, ND 58103
· Dental Clinic/Center
· NPI assigned 05/18/2014
$135K
Total Medicaid Paid
Provider Details
| Authorized Official | TROUT, CARL (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 05/18/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
997 |
$23K |
| 2019 |
775 |
$20K |
| 2020 |
517 |
$14K |
| 2021 |
681 |
$20K |
| 2022 |
627 |
$17K |
| 2023 |
850 |
$23K |
| 2024 |
661 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,157 |
1,967 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,815 |
1,663 |
$47K |
| D1120 |
Prophylaxis - child |
862 |
773 |
$29K |
| D1110 |
Prophylaxis - adult |
125 |
106 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
42 |
$2K |
| D9920 |
|
12 |
12 |
$1K |
| D0272 |
Bitewings - two radiographic images |
67 |
52 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
25 |
24 |
$748.05 |