MOUNTAIN VIEW DENTAL NORTHGLEEN LLC
NPI: 1780064469
· NORTHGLENN, CO 80234
· Dentist
· NPI assigned 06/08/2015
Provider Details
| Authorized Official | SCHMIDT, JOHN (DENTIST) |
| NPI Enumeration Date | 06/08/2015 |
Related Entities
Other providers sharing the same authorized official: SCHMIDT, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
449 |
$21K |
| 2019 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
14 |
12 |
$6K |
| D1110 |
Prophylaxis - adult |
127 |
125 |
$5K |
| D0274 |
Bitewings - four radiographic images |
125 |
125 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
94 |
93 |
$2K |
| D0330 |
Panoramic radiographic image |
38 |
38 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
19 |
12 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
44 |
$2K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$211.12 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$142.80 |