ORN & MCDANIEL FAMILY DENTISTRY
NPI: 1760613772
· JAMESTOWN, ND 58401
· General Practice Dentistry
· NPI assigned 08/07/2009
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | ORN, CARRIE (PRESIDENT) |
| NPI Enumeration Date | 08/07/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
121 |
$3K |
| 2019 |
121 |
$4K |
| 2020 |
124 |
$4K |
| 2021 |
517 |
$19K |
| 2022 |
434 |
$13K |
| 2023 |
551 |
$17K |
| 2024 |
1,167 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
544 |
532 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,084 |
1,057 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
736 |
722 |
$20K |
| D1120 |
Prophylaxis - child |
439 |
437 |
$18K |
| D0330 |
Panoramic radiographic image |
80 |
78 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
27 |
13 |
$3K |
| D0274 |
Bitewings - four radiographic images |
41 |
40 |
$2K |
| D0272 |
Bitewings - two radiographic images |
54 |
54 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
28 |
$1K |