OLNESS, ROSS
NPI: 1659579043
· WILLMAR, MN 56201
· Dentist
· NPI assigned 07/06/2007
$140.08
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$0.00 |
| 2020 |
12 |
$140.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
57 |
57 |
$140.08 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |