STEIDL FAMILY DENTISTRY PC
NPI: 1700104072
· MOORHEAD, MN 56560
· Dental Clinic/Center
· NPI assigned 05/12/2010
Provider Details
| Authorized Official | STEIDL, JAMIE (OWNER) |
| NPI Enumeration Date | 05/12/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55 |
$132.34 |
| 2020 |
25 |
$433.62 |
| 2021 |
140 |
$3K |
| 2022 |
91 |
$2K |
| 2023 |
165 |
$6K |
| 2024 |
128 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
278 |
270 |
$6K |
| D1110 |
Prophylaxis - adult |
123 |
118 |
$5K |
| D1206 |
Topical application of fluoride varnish |
190 |
185 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$150.84 |