NPI: 1689802241 · SIOUX CITY, IA 51104 · General Practice Dentistry · NPI assigned 06/22/2009
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 06/22/2009 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,605 | $32K |
| 2019 | 1,281 | $26K |
| 2020 | 1,071 | $23K |
| 2021 | 1,050 | $22K |
| 2022 | 1,330 | $28K |
| 2023 | 1,027 | $23K |
| 2024 | 807 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 2,900 | 2,852 | $56K |
| D1206 | Topical application of fluoride varnish | 3,335 | 3,249 | $55K |
| D1110 | Prophylaxis - adult | 899 | 873 | $32K |
| D1120 | Prophylaxis - child | 452 | 438 | $14K |
| D4910 | 141 | 141 | $8K | |
| D0274 | Bitewings - four radiographic images | 160 | 158 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 202 | 194 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 67 | 64 | $502.13 |
| D0272 | Bitewings - two radiographic images | 15 | 13 | $248.07 |