MOELLERS & MOELLERS FAMILY DENTISTRY
NPI: 1780269373
· DECORAH, IA 52101
· Dental Clinic/Center
· NPI assigned 03/15/2021
Provider Details
| Authorized Official | HERMAN, PAMELA (OFFICE MANAGER) |
| NPI Enumeration Date | 03/15/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$290.34 |
| 2022 |
12 |
$199.57 |
| 2023 |
59 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
41 |
39 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$395.97 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$206.40 |