JOHN WEBER DDS PLLC
NPI: 1598447690
· SISSETON, SD 57262
· General Practice Dentistry
· NPI assigned 08/07/2023
Provider Details
| Authorized Official | WEBER, JOHN (DENTIST) |
| NPI Enumeration Date | 08/07/2023 |
Related Entities
Other providers sharing the same authorized official: WEBER, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
290 |
$13K |
| 2024 |
618 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
351 |
52 |
$14K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
90 |
60 |
$13K |
| D1206 |
Topical application of fluoride varnish |
184 |
184 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
85 |
85 |
$5K |
| D1110 |
Prophylaxis - adult |
77 |
77 |
$5K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
25 |
13 |
$3K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$1K |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
13 |
$706.56 |