GRANQUIST, SUSAN
NPI: 1619298957
· HONESDALE, PA 18431
· General Practice Dentistry
· NPI assigned 06/22/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
224 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
125 |
121 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
71 |
68 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
12 |
$380.00 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$243.00 |