SUSAN OLSON DMD INC
NPI: 1740745439
· BIG LAKE, AK 99652
· Dental Clinic/Center
· NPI assigned 02/06/2019
Provider Details
| Authorized Official | OLSON, SUSAN (DENTIST) |
| NPI Enumeration Date | 02/06/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
93 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
47 |
$3K |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$846.95 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
18 |
$439.74 |