MENDOTA HEIGHTS DENTAL CENTER
NPI: 1730351214
· MENDOTA HEIGHTS, MN 55118
· Dental Clinic/Center
· NPI assigned 03/25/2008
Provider Details
| Authorized Official | MAXA, PAM (OFFICE MANAGER) |
| NPI Enumeration Date | 03/25/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
118 |
$1K |
| 2023 |
13 |
$444.83 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$1K |
| D1110 |
Prophylaxis - adult |
17 |
17 |
$593.34 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$212.36 |
| D1999 |
|
58 |
57 |
$0.00 |