NORTHWOODS DENTISTRY PLLC
NPI: 1730792334
· GRAND RAPIDS, MN 55744
· General Practice Dentistry
· NPI assigned 08/25/2020
$127K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
82 |
$3K |
| 2021 |
858 |
$41K |
| 2022 |
647 |
$29K |
| 2023 |
691 |
$30K |
| 2024 |
633 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,200 |
1,177 |
$49K |
| D1110 |
Prophylaxis - adult |
426 |
419 |
$35K |
| D1206 |
Topical application of fluoride varnish |
867 |
850 |
$25K |
| D0274 |
Bitewings - four radiographic images |
158 |
153 |
$8K |
| D1120 |
Prophylaxis - child |
97 |
95 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
51 |
50 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
86 |
82 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$991.56 |
| D9986 |
|
13 |
13 |
$260.00 |