ABERDEEN DENTAL
NPI: 1801448097
· ABERDEEN, SD 57401
· General Practice Dentistry
· NPI assigned 07/09/2019
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | TEIGEN, KRISTIN (PARTNER) |
| NPI Enumeration Date | 07/09/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
86 |
$3K |
| 2020 |
436 |
$13K |
| 2021 |
800 |
$25K |
| 2022 |
794 |
$26K |
| 2023 |
575 |
$17K |
| 2024 |
436 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
833 |
819 |
$26K |
| D1206 |
Topical application of fluoride varnish |
1,084 |
1,070 |
$26K |
| D1120 |
Prophylaxis - child |
630 |
624 |
$25K |
| D1110 |
Prophylaxis - adult |
294 |
285 |
$17K |
| D0274 |
Bitewings - four radiographic images |
245 |
245 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$2K |