DENTISTRY UNLIMITED 1 PLC
NPI: 1689898603
· BETTENDORF, IA 52722
· General Practice Dentistry
· NPI assigned 04/12/2007
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | WHEELER, LORI (OFFICE MANAGER) |
| NPI Enumeration Date | 04/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
269 |
$8K |
| 2019 |
547 |
$16K |
| 2020 |
1,551 |
$28K |
| 2021 |
1,822 |
$36K |
| 2022 |
1,254 |
$30K |
| 2023 |
173 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,693 |
2,581 |
$54K |
| D1110 |
Prophylaxis - adult |
1,141 |
1,074 |
$40K |
| D1120 |
Prophylaxis - child |
747 |
718 |
$20K |
| D0272 |
Bitewings - two radiographic images |
288 |
271 |
$5K |
| D1206 |
Topical application of fluoride varnish |
136 |
127 |
$2K |
| D0274 |
Bitewings - four radiographic images |
26 |
24 |
$594.02 |
| D1999 |
|
585 |
525 |
$0.00 |