CHILDREN'S DENTAL HEALTH CENTER, S.C.
NPI: 1710968086
· APPLETON, WI 54915
· Pediatric Dentist
· NPI assigned 11/14/2005
Provider Details
| Authorized Official | STEINMETZ, MARK (PRESIDENT) |
| NPI Enumeration Date | 11/14/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,404 |
$24K |
| 2019 |
427 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
716 |
673 |
$8K |
| D1110 |
Prophylaxis - adult |
391 |
363 |
$8K |
| D1120 |
Prophylaxis - child |
266 |
251 |
$4K |
| D1206 |
Topical application of fluoride varnish |
246 |
240 |
$3K |
| D0272 |
Bitewings - two radiographic images |
212 |
210 |
$3K |