WAHPETON FAMILY DENTISTRY
NPI: 1588365894
· WAHPETON, ND 58075
· General Practice Dentistry
· NPI assigned 03/14/2023
Provider Details
| Authorized Official | HALEY, MASON (DOCTOR OF DENTAL SURGERY) |
| NPI Enumeration Date | 03/14/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
97 |
$1K |
| 2024 |
14 |
$315.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
65 |
39 |
$951.66 |
| D1110 |
Prophylaxis - adult |
30 |
12 |
$655.55 |
| D1206 |
Topical application of fluoride varnish |
16 |
12 |
$142.60 |