LEWISTON DENTAL CARE
NPI: 1801443049
· LEWISTON, MN 55952
· General Practice Dentistry
· NPI assigned 08/22/2019
Provider Details
| Authorized Official | BULLARD, BRADLEY (DENTIST/OWNER) |
| NPI Enumeration Date | 08/22/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$476.58 |
| 2022 |
70 |
$3K |
| 2023 |
167 |
$7K |
| 2024 |
72 |
$3K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
102 |
102 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
161 |
160 |
$6K |
| D1206 |
Topical application of fluoride varnish |
46 |
40 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$476.58 |