GRANDGENETT FAMILY DENTAL, PC
NPI: 1770750028
· AMES, IA 50010
· Pediatric Dentist
· NPI assigned 05/14/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
343 |
$6K |
| 2022 |
784 |
$13K |
| 2023 |
631 |
$11K |
| 2024 |
551 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
639 |
632 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
753 |
745 |
$12K |
| D1206 |
Topical application of fluoride varnish |
775 |
767 |
$11K |
| D0274 |
Bitewings - four radiographic images |
108 |
107 |
$2K |
| D1351 |
Sealant - per tooth |
34 |
12 |
$630.28 |