RETH PC
NPI: 1790480374
· SPEARFISH, SD 57783
· Dental Clinic/Center
· NPI assigned 04/03/2023
Provider Details
| Authorized Official | RETH, JONATHAN (OWNER) |
| NPI Enumeration Date | 04/03/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
196 |
$8K |
| 2024 |
265 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
168 |
162 |
$11K |
| D1206 |
Topical application of fluoride varnish |
169 |
169 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
124 |
116 |
$5K |