CHARLES D KOLB DDS INC
NPI: 1700044195
· TAFT, TX 78390
· General Practice Dentistry
· NPI assigned 06/02/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | KOLB, CHARLES (OWNER DOCTOR) |
| NPI Enumeration Date | 06/02/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
262 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$0.00 |
| D0603 |
|
66 |
66 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
19 |
19 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
35 |
35 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
31 |
31 |
$0.00 |
| D1120 |
Prophylaxis - child |
28 |
28 |
$0.00 |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$0.00 |