HORIZON WEST DENTAL
NPI: 1821334061
· CRAWFORD, NE 69339
· Dentist
· NPI assigned 12/17/2012
Provider Details
| Authorized Official | MOODY, JUSTIN (PARTNER) |
| NPI Enumeration Date | 12/17/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
202 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
89 |
89 |
$2K |
| D1120 |
Prophylaxis - child |
60 |
60 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
53 |
53 |
$1K |