KNOWLTON & MCFALL DENTISTRY, PLLC
NPI: 1720130230
· SPARTA, MI 49345
· General Practice Dentistry
· NPI assigned 01/17/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$158.62 |
| 2021 |
40 |
$349.53 |
| 2022 |
171 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
114 |
114 |
$2K |
| D1206 |
Topical application of fluoride varnish |
73 |
73 |
$931.89 |
| D1120 |
Prophylaxis - child |
25 |
25 |
$752.49 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$165.00 |