ORANGE CITY DENTISTRY, INC
NPI: 1811066590
· ORANGE CITY, IA 51041
· General Practice Dentistry
· NPI assigned 11/07/2006
$262K
Total Medicaid Paid
Provider Details
| Authorized Official | BEERNINK, GREGORY (PRESIDENT-OWNER) |
| NPI Enumeration Date | 11/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,289 |
$32K |
| 2019 |
1,553 |
$37K |
| 2020 |
1,779 |
$42K |
| 2021 |
1,663 |
$45K |
| 2022 |
1,558 |
$39K |
| 2023 |
1,373 |
$36K |
| 2024 |
1,185 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,490 |
3,428 |
$79K |
| D1120 |
Prophylaxis - child |
1,920 |
1,878 |
$62K |
| D1206 |
Topical application of fluoride varnish |
3,267 |
3,197 |
$61K |
| D1110 |
Prophylaxis - adult |
946 |
932 |
$41K |
| D0272 |
Bitewings - two radiographic images |
319 |
302 |
$6K |
| D0274 |
Bitewings - four radiographic images |
256 |
246 |
$6K |
| D0330 |
Panoramic radiographic image |
84 |
71 |
$3K |
| D1351 |
Sealant - per tooth |
72 |
27 |
$2K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
17 |
12 |
$880.16 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
28 |
$761.08 |