NOBLE DENTAL PLLC
NPI: 1588097885
· DULUTH, MN 55806
· Dental Clinic/Center
· NPI assigned 08/10/2013
Provider Details
| Authorized Official | NOBLE, JACOB (MANAGER) |
| NPI Enumeration Date | 08/10/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$903.72 |
| 2023 |
284 |
$12K |
| 2024 |
429 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
197 |
197 |
$13K |
| D0274 |
Bitewings - four radiographic images |
144 |
144 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
177 |
177 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
90 |
88 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
51 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
66 |
$1K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$447.00 |