GERALD L IGNACE INDIAN DENTAL CENTER, LLC
NPI: 1710498514
· MILWAUKEE, WI 53204
· General Practice Dentistry
· NPI assigned 10/19/2017
Provider Details
| Authorized Official | SCHULNER, MARIA (PROVIDER ENROLLMENT SPECIALIST) |
| NPI Enumeration Date | 10/19/2017 |
Related Entities
Other providers sharing the same authorized official: SCHULNER, MARIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
314 |
$8K |
| 2019 |
233 |
$4K |
| 2022 |
31 |
$0.00 |
| 2023 |
412 |
$5K |
| 2024 |
390 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
559 |
508 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
244 |
227 |
$8K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
41 |
24 |
$2K |
| D1110 |
Prophylaxis - adult |
72 |
64 |
$2K |
| D1206 |
Topical application of fluoride varnish |
139 |
121 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
41 |
37 |
$678.53 |
| D0274 |
Bitewings - four radiographic images |
30 |
26 |
$612.88 |
| D0220 |
Intraoral - periapical first radiographic image |
58 |
55 |
$454.61 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
15 |
$316.33 |
| D1310 |
|
45 |
26 |
$0.00 |
| D1330 |
|
133 |
92 |
$0.00 |