COLONDDS P.C.
NPI: 1760721153
· JEFFERSONVILLE, IN 47130
· Dentist
· NPI assigned 02/06/2013
$297.59
Total Medicaid Paid
Provider Details
| Authorized Official | COLON, DAGMAR (DENTIST) |
| NPI Enumeration Date | 02/06/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
421 |
$0.00 |
| 2022 |
12 |
$297.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
133 |
131 |
$297.59 |
| D1206 |
Topical application of fluoride varnish |
69 |
69 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
63 |
61 |
$0.00 |
| D1110 |
Prophylaxis - adult |
156 |
142 |
$0.00 |