SERGEANT BLUFF DENTAL, PC
NPI: 1619494333
· SERGEANT BLUFF, IA 51054
· General Practice Dentistry
· NPI assigned 08/23/2017
$372.58
Total Medicaid Paid
Provider Details
| Authorized Official | HUSEN, RENEE (OWNER) |
| NPI Enumeration Date | 08/23/2017 |
Related Entities
Other providers sharing the same authorized official: HUSEN, RENEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$200.62 |
| 2021 |
13 |
$171.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
27 |
26 |
$372.58 |