KEGUTA DENTAL LLC
NPI: 1578999306
· BETHEL, AK 99559
· Dental Clinic/Center
· NPI assigned 09/25/2013
Provider Details
| Authorized Official | ALLGAIR, EDWIN (DENTAL DIRECTOR/MANAGER) |
| NPI Enumeration Date | 09/25/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
91 |
$5K |
| 2019 |
58 |
$4K |
| 2020 |
87 |
$6K |
| 2021 |
231 |
$15K |
| 2022 |
239 |
$16K |
| 2023 |
41 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
353 |
329 |
$29K |
| D0274 |
Bitewings - four radiographic images |
106 |
100 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
97 |
95 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
71 |
68 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
46 |
36 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
58 |
52 |
$1K |
| D1120 |
Prophylaxis - child |
16 |
15 |
$974.25 |