BURWELL DENTAL CLINIC, P.C.
NPI: 1609157999
· BURWELL, NE 68823
· General Practice Dentistry
· NPI assigned 08/31/2011
$129K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GARNER, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
408 |
$10K |
| 2019 |
509 |
$11K |
| 2020 |
540 |
$11K |
| 2021 |
1,287 |
$23K |
| 2022 |
1,361 |
$26K |
| 2023 |
1,190 |
$26K |
| 2024 |
813 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,504 |
1,492 |
$36K |
| D1206 |
Topical application of fluoride varnish |
1,258 |
1,186 |
$30K |
| D1110 |
Prophylaxis - adult |
624 |
619 |
$23K |
| D1120 |
Prophylaxis - child |
518 |
511 |
$14K |
| D1999 |
|
1,555 |
1,354 |
$14K |
| D0274 |
Bitewings - four radiographic images |
261 |
260 |
$5K |
| D0272 |
Bitewings - two radiographic images |
341 |
336 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$646.90 |