DRS PAVLIK AND BARGEN DDS PC
NPI: 1710502125
· COLUMBUS, NE 68601
· General Practice Dentistry
· NPI assigned 06/11/2020
Provider Details
| Authorized Official | WEGENER, JORDAN (OFFICE MANAGER) |
| NPI Enumeration Date | 06/11/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
252 |
$5K |
| 2021 |
882 |
$20K |
| 2022 |
92 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
544 |
532 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
464 |
464 |
$10K |
| D1120 |
Prophylaxis - child |
150 |
150 |
$4K |
| D1110 |
Prophylaxis - adult |
30 |
30 |
$980.56 |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$259.77 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$221.87 |