AFFILIATED PEDIATRIC DENTISTS PA
NPI: 1790941425
· MINNETONKA, MN 55343
· Pediatric Dentist
· NPI assigned 08/01/2008
Provider Details
| Authorized Official | GREENWOOD, MARK (TREASURER) |
| NPI Enumeration Date | 08/01/2008 |
Related Entities
Other providers sharing the same authorized official: GREENWOOD, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
343 |
$7K |
| 2019 |
323 |
$7K |
| 2020 |
370 |
$5K |
| 2021 |
465 |
$7K |
| 2022 |
376 |
$7K |
| 2023 |
134 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
775 |
760 |
$20K |
| D1206 |
Topical application of fluoride varnish |
625 |
612 |
$12K |
| D1120 |
Prophylaxis - child |
146 |
146 |
$4K |
| D1999 |
|
143 |
140 |
$20.86 |
| D9985 |
|
322 |
309 |
$0.00 |