NPI: 1700157476 · WAYNE, NE 68787 · General Practice Dentistry · NPI assigned 01/26/2012
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 01/26/2012 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $1K |
| 2019 | 140 | $3K |
| 2020 | 122 | $3K |
| 2021 | 68 | $2K |
| 2022 | 169 | $4K |
| 2023 | 62 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 321 | 306 | $7K |
| D0120 | Periodic oral evaluation - established patient | 268 | 266 | $6K |
| D1120 | Prophylaxis - child | 27 | 27 | $717.34 |
| D1110 | Prophylaxis - adult | 12 | 12 | $403.92 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $213.18 |