INTERMOUNTAIN DENTURES PLLC
NPI: 1659652519
· ST GEORGE, UT 84770
· General Practice Dentistry
· NPI assigned 09/06/2011
Provider Details
| Authorized Official | HANSON, ERIC (OWNER) |
| NPI Enumeration Date | 09/06/2011 |
Related Entities
Other providers sharing the same authorized official: HANSON, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
495 |
$28K |
| 2024 |
310 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
426 |
70 |
$37K |
| D0140 |
Limited oral evaluation - problem focused |
124 |
124 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
240 |
217 |
$3K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$729.72 |