ANKENY CHILDREN'S DENTAL PC
NPI: 1639646680
· ANKENY, IA 50023
· Pediatric Dentist
· NPI assigned 10/29/2018
$140K
Total Medicaid Paid
Provider Details
| Authorized Official | MYERS, CHRISTOPHER (PEDIATRIC DENTIST/PRESIDENT) |
| NPI Enumeration Date | 10/29/2018 |
Related Entities
Other providers sharing the same authorized official: MYERS, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,514 |
$61K |
| 2020 |
2,758 |
$48K |
| 2021 |
1,756 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,939 |
1,901 |
$45K |
| D0120 |
Periodic oral evaluation - established patient |
2,378 |
2,339 |
$36K |
| D1206 |
Topical application of fluoride varnish |
2,510 |
2,459 |
$34K |
| D1110 |
Prophylaxis - adult |
347 |
340 |
$10K |
| D0272 |
Bitewings - two radiographic images |
617 |
600 |
$9K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
194 |
183 |
$4K |
| D0330 |
Panoramic radiographic image |
14 |
13 |
$506.55 |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$319.41 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$122.76 |