DES MOINES DENTAL CARE, P.C.
NPI: 1831625714
· DES MOINES, IA 50314
· Dentist
· NPI assigned 05/11/2017
Provider Details
| Authorized Official | GREMORE, CASEY (PRESIDENT) |
| NPI Enumeration Date | 05/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
615 |
$11K |
| 2019 |
757 |
$14K |
| 2020 |
592 |
$11K |
| 2021 |
669 |
$12K |
| 2022 |
611 |
$11K |
| 2023 |
715 |
$14K |
| 2024 |
418 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,068 |
1,823 |
$31K |
| D1110 |
Prophylaxis - adult |
1,010 |
921 |
$29K |
| D1120 |
Prophylaxis - child |
507 |
390 |
$10K |
| D0274 |
Bitewings - four radiographic images |
297 |
270 |
$6K |
| D1206 |
Topical application of fluoride varnish |
161 |
156 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
105 |
71 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
117 |
108 |
$869.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
112 |
54 |
$608.44 |