NPI: 1790893899 · BOTTINEAU, ND 58318 · Dentist · NPI assigned 08/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,857 | $78K |
| 2019 | 1,821 | $66K |
| 2020 | 1,502 | $48K |
| 2021 | 202 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9110 | 1,407 | 975 | $50K | |
| D2140 | 769 | 169 | $43K | |
| D1110 | Prophylaxis - adult | 606 | 519 | $28K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 259 | 77 | $19K |
| D0120 | Periodic oral evaluation - established patient | 716 | 617 | $18K |
| D0140 | Limited oral evaluation - problem focused | 550 | 345 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 643 | 523 | $12K |
| D1206 | Topical application of fluoride varnish | 252 | 238 | $5K |
| D1351 | Sealant - per tooth | 95 | 14 | $3K |
| D0274 | Bitewings - four radiographic images | 85 | 78 | $2K |