DANIEL G. RAETHER, DDS, MS, LTD.
NPI: 1780722942
· PLYMOUTH, MN 55441
· Pediatric Dentist
· NPI assigned 02/01/2007
Provider Details
| Authorized Official | RAETHER, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 02/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
653 |
$7K |
| 2019 |
498 |
$6K |
| 2020 |
490 |
$8K |
| 2021 |
930 |
$16K |
| 2022 |
714 |
$20K |
| 2023 |
439 |
$13K |
| 2024 |
823 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,899 |
1,785 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,754 |
1,657 |
$30K |
| D1120 |
Prophylaxis - child |
740 |
690 |
$17K |
| D1110 |
Prophylaxis - adult |
129 |
118 |
$3K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$547.69 |