KTB, DDS. P.C
NPI: 1649850603
· SIOUX CITY, IA 51106
· General Practice Dentistry
· NPI assigned 04/13/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
147 |
$3K |
| 2022 |
361 |
$7K |
| 2023 |
433 |
$9K |
| 2024 |
361 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
571 |
559 |
$12K |
| D1206 |
Topical application of fluoride varnish |
611 |
596 |
$11K |
| D1120 |
Prophylaxis - child |
106 |
106 |
$3K |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$354.56 |