SAMUELSON, DAVID
NPI: 1629154018
· LOWDEN, IA 52255
· General Practice Dentistry
· NPI assigned 10/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
760 |
$22K |
| 2019 |
756 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
414 |
376 |
$16K |
| D1206 |
Topical application of fluoride varnish |
412 |
374 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
389 |
370 |
$9K |
| D1351 |
Sealant - per tooth |
121 |
84 |
$9K |
| D0601 |
|
147 |
141 |
$0.00 |
| D0602 |
|
33 |
33 |
$0.00 |