ADVANCED DENTAL, INC.
NPI: 1770833113
· CHEYENNE, WY 82009
· General Practice Dentistry
· NPI assigned 09/13/2012
Provider Details
| Authorized Official | ROCKNAK, SHAUN (OWNER) |
| NPI Enumeration Date | 09/13/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
128 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
|
34 |
34 |
$1K |
| D0150 |
|
33 |
33 |
$1K |
| D1110 |
|
17 |
16 |
$750.00 |
| D0274 |
|
19 |
19 |
$630.00 |
| D0140 |
|
12 |
12 |
$540.00 |
| D0220 |
|
13 |
12 |
$195.00 |