CRIS DENTAL GROUP
NPI: 1700152188
· EUGENE, OR 97401
· Dentist
· NPI assigned 03/29/2012
$137.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BRATLAND, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,605 |
$137.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
86 |
85 |
$84.00 |
| D1354 |
|
5,962 |
395 |
$42.00 |
| D0601 |
|
13 |
12 |
$11.00 |
| D0603 |
|
779 |
698 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
168 |
161 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
65 |
65 |
$0.00 |
| D1330 |
|
1,040 |
915 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
165 |
160 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
66 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
50 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$0.00 |
| D0602 |
|
29 |
28 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
117 |
111 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
18 |
17 |
$0.00 |
| D0270 |
|
30 |
29 |
$0.00 |