IDEAL DENTAL PLLC
NPI: 1730734708
· EAGAN, MN 55122
· General Practice Dentistry
· NPI assigned 08/07/2019
Provider Details
| Authorized Official | ANDERSON, TRENT (PARTNER/OWNER) |
| NPI Enumeration Date | 08/07/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$693.12 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$375.88 |