TED C. KAWULOK D.D.S., P.C.
NPI: 1669850608
· BOULDER, CO 80303
· Dentist
· NPI assigned 05/11/2015
Provider Details
| Authorized Official | KAWULOK, TED (OWNER) |
| NPI Enumeration Date | 05/11/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
26 |
$2K |
| 2020 |
40 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
28 |
27 |
$2K |
| D1206 |
Topical application of fluoride varnish |
26 |
25 |
$884.25 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$546.84 |