LONG PRAIRIE DENTAL CLINIC LLC
NPI: 1811943061
· LONG PRAIRIE, MN 56347
· Dentist
· NPI assigned 05/26/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,516 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
285 |
235 |
$853.78 |
| D0120 |
Periodic oral evaluation - established patient |
466 |
383 |
$751.71 |
| D1206 |
Topical application of fluoride varnish |
378 |
306 |
$409.09 |
| D0272 |
Bitewings - two radiographic images |
24 |
13 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
149 |
121 |
$0.00 |
| D1120 |
Prophylaxis - child |
189 |
148 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$0.00 |