STARK AND JOHNSON LLC
NPI: 1588122279
· LINCOLN, NE 68510
· Pediatric Dentist
· NPI assigned 03/12/2019
Provider Details
| Authorized Official | WALL, JENNI (INSURANCE AND BILLING MANAGER) |
| Parent Organization | STARK AND JOHNSON, LLC |
| NPI Enumeration Date | 03/12/2019 |
Related Entities
Other providers sharing the same authorized official: WALL, JENNI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,181 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
319 |
318 |
$15K |
| D1206 |
Topical application of fluoride varnish |
342 |
341 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
250 |
249 |
$10K |
| D0272 |
Bitewings - two radiographic images |
164 |
163 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
26 |
26 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
14 |
$757.35 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$476.28 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$313.78 |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
14 |
$162.00 |