CRIS DENTAL GROUP
NPI: 1679849053
· SPRINGFIELD, OR 97478
· General Practice Dentistry
· NPI assigned 03/29/2012
$111.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BRATLAND, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,176 |
$111.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
178 |
171 |
$52.00 |
| D1354 |
|
1,767 |
296 |
$28.00 |
| D0220 |
Intraoral - periapical first radiographic image |
229 |
221 |
$20.00 |
| D0603 |
|
748 |
648 |
$11.00 |
| D0274 |
Bitewings - four radiographic images |
195 |
189 |
$0.00 |
| D1120 |
Prophylaxis - child |
94 |
92 |
$0.00 |
| D1110 |
Prophylaxis - adult |
211 |
209 |
$0.00 |
| D0270 |
|
14 |
14 |
$0.00 |
| D0601 |
|
133 |
126 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
315 |
311 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
91 |
90 |
$0.00 |
| D1330 |
|
1,279 |
1,070 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
171 |
164 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
213 |
201 |
$0.00 |
| D1310 |
|
478 |
425 |
$0.00 |
| D0602 |
|
31 |
29 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
29 |
18 |
$0.00 |