DREGALLA FAMILY DENTISTRY
NPI: 1609318849
· PENDER, NE 68047
· Dental Clinic/Center
· NPI assigned 11/04/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
247 |
$5K |
| 2019 |
54 |
$564.00 |
| 2022 |
449 |
$9K |
| 2024 |
350 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
399 |
387 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
267 |
263 |
$6K |
| D1120 |
Prophylaxis - child |
118 |
110 |
$3K |
| D1999 |
|
190 |
161 |
$2K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$683.02 |
| D1351 |
Sealant - per tooth |
25 |
12 |
$625.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$308.28 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$192.24 |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$84.04 |