BALLER AND WINELAND LLC
NPI: 1801593280
· SIOUX CITY, IA 51106
· Dentist
· NPI assigned 02/15/2023
Provider Details
| Authorized Official | BALLER, RYAN (CO-OWNER / DENTIST) |
| NPI Enumeration Date | 02/15/2023 |
Related Entities
Other providers sharing the same authorized official: BALLER, RYAN
| Provider | City | State | Total Paid |
|---|
| RESTOREU LLC |
SOUTH SIOUX CITY |
NE |
$108.04 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
339 |
$8K |
| 2024 |
301 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
332 |
326 |
$7K |
| D1110 |
Prophylaxis - adult |
83 |
80 |
$4K |
| D1206 |
Topical application of fluoride varnish |
135 |
133 |
$3K |
| D0274 |
Bitewings - four radiographic images |
27 |
26 |
$802.77 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$395.80 |
| D0220 |
Intraoral - periapical first radiographic image |
34 |
30 |
$369.62 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
14 |
$158.82 |