TERESA RUEHL, DDS, P.C.
NPI: 1609298850
· LANDER, WY 82520
· General Practice Dentistry
· NPI assigned 01/07/2014
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | RUEHL, TERESA (OWNER) |
| NPI Enumeration Date | 01/07/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
618 |
$20K |
| 2019 |
872 |
$26K |
| 2020 |
840 |
$24K |
| 2021 |
610 |
$19K |
| 2022 |
280 |
$9K |
| 2023 |
73 |
$2K |
| 2024 |
40 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
972 |
959 |
$31K |
| D1206 |
Topical application of fluoride varnish |
928 |
919 |
$30K |
| D1120 |
Prophylaxis - child |
579 |
577 |
$20K |
| D1354 |
|
251 |
78 |
$6K |
| D0274 |
Bitewings - four radiographic images |
156 |
155 |
$5K |
| D1110 |
Prophylaxis - adult |
85 |
84 |
$4K |
| D1351 |
Sealant - per tooth |
114 |
43 |
$3K |
| D1330 |
|
136 |
135 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
15 |
$616.00 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
30 |
$465.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$385.00 |
| D1320 |
|
25 |
25 |
$334.08 |