NPI: 1790449247 · OMAHA, NE 68164 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 10/29/2021
Authorized official DASCH, CHARLOTTE controls 20+ related entities in our dataset. Read more
| Authorized Official | DASCH, CHARLOTTE (DIRECTOR OF PROVIDER RELATIOND) |
| NPI Enumeration Date | 10/29/2021 |
Other providers sharing the same authorized official: DASCH, CHARLOTTE
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15,009 | $369K |
| 2024 | 6,269 | $152K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 4,956 | 4,846 | $125K |
| D1120 | Prophylaxis - child | 4,421 | 4,332 | $124K |
| D0120 | Periodic oral evaluation - established patient | 4,288 | 4,205 | $105K |
| D1351 | Sealant - per tooth | 3,471 | 610 | $96K |
| D0272 | Bitewings - two radiographic images | 2,111 | 2,071 | $28K |
| D1999 | 1,183 | 1,165 | $12K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 116 | 64 | $10K |
| D1110 | Prophylaxis - adult | 156 | 152 | $6K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 180 | 174 | $6K |
| D0330 | Panoramic radiographic image | 117 | 117 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | 40 | 40 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 20 | 14 | $1K |
| D9420 | 12 | 12 | $1K | |
| D0274 | Bitewings - four radiographic images | 39 | 39 | $931.44 |
| D0220 | Intraoral - periapical first radiographic image | 123 | 119 | $767.62 |
| D0240 | 45 | 24 | $343.22 |