WATERFALL CLINIC INCORPORATED
NPI: 1700522489
· NORTH BEND, OR 97459
· General Practice Dentistry
· NPI assigned 05/06/2022
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: TRENNER, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
405 |
$0.00 |
| 2024 |
2,815 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0270 |
|
71 |
70 |
$0.00 |
| D1110 |
Prophylaxis - adult |
203 |
203 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
415 |
401 |
$0.00 |
| D1120 |
Prophylaxis - child |
26 |
26 |
$0.00 |
| D0330 |
Panoramic radiographic image |
45 |
45 |
$0.00 |
| D9430 |
|
14 |
12 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
309 |
308 |
$0.00 |
| D0603 |
|
279 |
279 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
53 |
27 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
448 |
431 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
391 |
391 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$0.00 |
| D1330 |
|
332 |
330 |
$0.00 |
| D1310 |
|
331 |
329 |
$0.00 |
| D4342 |
|
27 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
162 |
57 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
39 |
$0.00 |
| D1351 |
Sealant - per tooth |
49 |
16 |
$0.00 |