NPI: 1679749337 · SOUTH SIOUX CITY, NE 68776 · General Practice Dentistry · NPI assigned 05/02/2008
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 05/02/2008 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 906 | $14K |
| 2019 | 673 | $11K |
| 2020 | 244 | $4K |
| 2021 | 321 | $6K |
| 2022 | 176 | $3K |
| 2023 | 207 | $4K |
| 2024 | 60 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,102 | 1,011 | $18K |
| D1206 | Topical application of fluoride varnish | 788 | 651 | $12K |
| D1110 | Prophylaxis - adult | 234 | 200 | $6K |
| D1120 | Prophylaxis - child | 221 | 195 | $4K |
| D0272 | Bitewings - two radiographic images | 144 | 127 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | 16 | 16 | $306.32 |
| D0274 | Bitewings - four radiographic images | 16 | 15 | $280.80 |
| D0220 | Intraoral - periapical first radiographic image | 43 | 37 | $273.23 |
| D0603 | 23 | 15 | $0.00 |