MIDWEST DENTAL OF IOWA, PLC
NPI: 1811028533
· MONDOVI, WI 54755
· General Practice Dentistry
· NPI assigned 03/07/2007
Provider Details
| Authorized Official | MYER, JIM (CFO) |
| NPI Enumeration Date | 03/07/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$497.90 |
| 2019 |
19 |
$459.60 |
| 2020 |
55 |
$383.00 |
| 2023 |
90 |
$2K |
| 2024 |
13 |
$225.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
75 |
70 |
$2K |
| D1110 |
Prophylaxis - adult |
29 |
27 |
$859.60 |
| D1206 |
Topical application of fluoride varnish |
44 |
41 |
$701.90 |
| D1999 |
|
43 |
38 |
$0.00 |