NPI: 1578944435 · SIOUX CITY, IA 51104 · General Practice Dentistry · NPI assigned 06/16/2015
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 06/16/2015 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 947 | $21K |
| 2019 | 1,198 | $30K |
| 2020 | 911 | $23K |
| 2021 | 1,075 | $27K |
| 2022 | 1,187 | $28K |
| 2023 | 1,100 | $27K |
| 2024 | 493 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,213 | 1,175 | $45K |
| D1206 | Topical application of fluoride varnish | 2,505 | 2,427 | $44K |
| D0120 | Periodic oral evaluation - established patient | 2,038 | 1,981 | $42K |
| D1120 | Prophylaxis - child | 923 | 898 | $29K |
| D0274 | Bitewings - four radiographic images | 189 | 180 | $5K |
| D4346 | 15 | 15 | $616.04 | |
| D0272 | Bitewings - two radiographic images | 28 | 28 | $532.19 |