IOWA CENTRAL COMMUNITY COLLEGE
NPI: 1710187497
· FORT DODGE, IA 50501
· Dental Clinic/Center
· NPI assigned 07/20/2007
Provider Details
| Authorized Official | PIPER, RENEE (PROGRAM COORDINATOR) |
| NPI Enumeration Date | 07/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
92 |
$1K |
| 2023 |
405 |
$8K |
| 2024 |
194 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
350 |
348 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
86 |
83 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
77 |
77 |
$1K |
| D1110 |
Prophylaxis - adult |
36 |
36 |
$1K |
| D0274 |
Bitewings - four radiographic images |
55 |
55 |
$552.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$319.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$98.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$84.00 |
| D0330 |
Panoramic radiographic image |
46 |
46 |
$0.00 |