MOEN, DONALD
NPI: 1720115363
· LEWISTOWN, MT 59457
· Dentist
· NPI assigned 02/28/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
733 |
$21K |
| 2019 |
417 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
474 |
468 |
$19K |
| D1208 |
Topical application of fluoride, excluding varnish |
453 |
444 |
$8K |
| D0272 |
Bitewings - two radiographic images |
107 |
107 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
60 |
59 |
$2K |
| D0274 |
Bitewings - four radiographic images |
29 |
27 |
$830.63 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
26 |
$468.21 |