JOHNSTOWN PEDIATRIC DENTISTRY PLLC
NPI: 1770348401
· JOHNSTOWN, CO 80534
· Pediatric Dentist
· NPI assigned 02/21/2024
Provider Details
| Authorized Official | GREEN, NATHAN (OWNER) |
| NPI Enumeration Date | 02/21/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
68 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
36 |
36 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$690.37 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$264.60 |