HILLSIDE DENTAL
NPI: 1760499891
· EAU CLAIRE, WI 54701
· General Practice Dentistry
· NPI assigned 08/02/2006
Provider Details
Related Entities
Other providers sharing the same authorized official: JOHNSON, CHRISTOPHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
24 |
$481.52 |
| 2019 |
12 |
$310.38 |
| 2023 |
25 |
$519.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
36 |
36 |
$954.33 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$180.48 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$176.50 |