HILANDER DENTAL
NPI: 1629383096
· KELSO, WA 98626
· Dentist
· NPI assigned 08/10/2010
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | KJOSE, RENEE (MANAGER/CONTROLLER) |
| NPI Enumeration Date | 08/10/2010 |
Related Entities
Other providers sharing the same authorized official: KJOSE, RENEE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,150 |
$40K |
| 2019 |
2,077 |
$39K |
| 2020 |
2,407 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,523 |
1,487 |
$32K |
| D1110 |
Prophylaxis - adult |
815 |
796 |
$24K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,646 |
1,612 |
$21K |
| D1120 |
Prophylaxis - child |
974 |
955 |
$21K |
| D1999 |
|
671 |
572 |
$9K |
| D0274 |
Bitewings - four radiographic images |
720 |
704 |
$7K |
| D0272 |
Bitewings - two radiographic images |
240 |
232 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
19 |
15 |
$380.00 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$142.46 |