GRANDGENETT, ROGER
NPI: 1659395580
· BLUE EARTH, MN 56013
· General Practice Dentistry
· NPI assigned 07/26/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
| 2019 |
320 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
213 |
212 |
$4K |
| D1110 |
Prophylaxis - adult |
94 |
94 |
$4K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$663.75 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$315.36 |