CLD - EDEN PRAIRIE MN, LLC
NPI: 1770315889
· EDEN PRAIRIE, MN 55344
· Dental Clinic/Center
· NPI assigned 08/16/2024
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,377 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2991 |
|
663 |
52 |
$36K |
| D0330 |
Panoramic radiographic image |
72 |
72 |
$5K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$4K |
| D0274 |
Bitewings - four radiographic images |
71 |
71 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
55 |
55 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
189 |
81 |
$2K |
| D1330 |
|
58 |
58 |
$2K |
| D1206 |
Topical application of fluoride varnish |
58 |
58 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
89 |
87 |
$2K |
| D1310 |
|
19 |
19 |
$547.96 |