SIBLEY DENTAL SUITE, PLLC
NPI: 1780738179
· LITCHFIELD, MN 55355
· General Practice Dentistry
· NPI assigned 01/22/2007
Provider Details
| Authorized Official | CZIOK, MICHAEL (OWNER) |
| NPI Enumeration Date | 01/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$913.28 |
| 2023 |
178 |
$6K |
| 2024 |
212 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
228 |
222 |
$8K |
| D1206 |
Topical application of fluoride varnish |
106 |
103 |
$3K |
| D1110 |
Prophylaxis - adult |
41 |
40 |
$2K |
| D0274 |
Bitewings - four radiographic images |
15 |
13 |
$505.46 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$445.73 |
| D0272 |
Bitewings - two radiographic images |
13 |
12 |
$413.21 |