SAN JUAN BASIN HEALTH DEPARTMENT
NPI: 1730101726
· DURANGO, CO 81301
· Dental Clinic/Center
· NPI assigned 07/25/2006
Provider Details
| Authorized Official | JOLLON, LIANE (EXECUTIVE DIRECTOR) |
| Parent Organization | SAN JUAN BASIN HEALTH DEPARTMENT |
| NPI Enumeration Date | 07/25/2006 |
Related Entities
Other providers sharing the same authorized official: JOLLON, LIANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
423 |
$8K |
| 2019 |
87 |
$2K |
| 2021 |
125 |
$2K |
| 2022 |
525 |
$12K |
| 2023 |
586 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0190 |
|
752 |
747 |
$13K |
| D1206 |
Topical application of fluoride varnish |
532 |
530 |
$9K |
| D1120 |
Prophylaxis - child |
278 |
277 |
$9K |
| D1351 |
Sealant - per tooth |
157 |
41 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
27 |
27 |
$870.97 |