NORTH BENTON DENTAL CARE
NPI: 1700815008
· SAUK RAPIDS, MN 56379
· General Practice Dentistry
· NPI assigned 07/01/2006
Provider Details
| Authorized Official | POGANSKI, PAMELA (OFFICE MANAGER) |
| NPI Enumeration Date | 07/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
125 |
$3K |
| 2019 |
252 |
$6K |
| 2020 |
233 |
$5K |
| 2021 |
187 |
$4K |
| 2022 |
82 |
$2K |
| 2023 |
39 |
$1K |
| 2024 |
12 |
$277.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
304 |
297 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
366 |
356 |
$7K |
| D1206 |
Topical application of fluoride varnish |
178 |
171 |
$3K |
| D0274 |
Bitewings - four radiographic images |
82 |
81 |
$2K |