BERT AND DAVID ENGSTROM DMD INC
NPI: 1679987903
· SELMA, CA 93662
· General Practice Dentistry
· NPI assigned 06/14/2014
Provider Details
| Authorized Official | ENGSTROM, BERT (DENTIST) |
| NPI Enumeration Date | 06/14/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
306 |
$5K |
| 2019 |
12 |
$135.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
102 |
102 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
152 |
151 |
$798.00 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$439.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$234.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$120.00 |