HANSON AND FONKERT DENTAL CLINIC PA
NPI: 1750465753
· WILLMAR, MN 56201
· Dentist
· NPI assigned 10/25/2006
Provider Details
| Authorized Official | PIRROTTA, TOMI (OFFICE MANAGER) |
| NPI Enumeration Date | 10/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
475 |
$2K |
| 2019 |
305 |
$8K |
| 2020 |
357 |
$10K |
| 2021 |
439 |
$12K |
| 2022 |
595 |
$23K |
| 2023 |
584 |
$21K |
| 2024 |
440 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,618 |
1,597 |
$40K |
| D1110 |
Prophylaxis - adult |
779 |
770 |
$33K |
| D1206 |
Topical application of fluoride varnish |
510 |
506 |
$10K |
| D1120 |
Prophylaxis - child |
223 |
222 |
$7K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$2K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$456.51 |