MAGNA DENTAL CLINIC
NPI: 1790077915
· MAGNA, UT 84044
· General Practice Dentistry
· NPI assigned 05/05/2011
Provider Details
| Authorized Official | JOHNSON, LYNN (OWNER) |
| NPI Enumeration Date | 05/05/2011 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, LYNN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$710.70 |
| 2019 |
80 |
$2K |
| 2020 |
217 |
$12K |
| 2021 |
106 |
$5K |
| 2023 |
473 |
$8K |
| 2024 |
398 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
124 |
124 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
304 |
275 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
394 |
342 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
221 |
116 |
$3K |
| D2160 |
|
30 |
12 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
26 |
12 |
$2K |
| D1120 |
Prophylaxis - child |
83 |
82 |
$737.94 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$301.35 |
| D0120 |
Periodic oral evaluation - established patient |
79 |
78 |
$243.71 |