DAHL, TANNER
NPI: 1700438793
· WALLA WALLA, WA 99362
· General Practice Dentistry
· NPI assigned 07/10/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$336.00 |
| 2022 |
679 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
163 |
163 |
$5K |
| D1120 |
Prophylaxis - child |
103 |
103 |
$4K |
| D1206 |
Topical application of fluoride varnish |
159 |
159 |
$3K |
| D0272 |
Bitewings - two radiographic images |
115 |
115 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
68 |
$741.00 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$658.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
70 |
53 |
$468.00 |