VALENTINE DENTAL CLINIC II LLC
NPI: 1689936411
· VALENTINE, NE 69201
· General Practice Dentistry
· NPI assigned 06/07/2012
Provider Details
| Authorized Official | BATTERSHAW, PAM (OFFICE MANAGER) |
| NPI Enumeration Date | 06/07/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
88 |
$2K |
| 2019 |
109 |
$3K |
| 2020 |
49 |
$1K |
| 2021 |
133 |
$3K |
| 2022 |
247 |
$7K |
| 2023 |
233 |
$6K |
| 2024 |
39 |
$788.93 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
454 |
449 |
$11K |
| D1206 |
Topical application of fluoride varnish |
277 |
271 |
$7K |
| D1120 |
Prophylaxis - child |
65 |
65 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
19 |
12 |
$1K |
| D0274 |
Bitewings - four radiographic images |
57 |
57 |
$1K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$938.34 |