GREGG LIEDTKA DMD PLLC
NPI: 1831683168
· ODESSA, WA 99159
· Dentist
· NPI assigned 06/20/2018
Provider Details
| Authorized Official | STEWART, NINA (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 06/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
189 |
$2K |
| 2021 |
36 |
$669.44 |
| 2022 |
86 |
$1K |
| 2023 |
42 |
$1K |
| 2024 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
126 |
119 |
$3K |
| D1999 |
|
156 |
123 |
$2K |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$689.22 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$570.69 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$407.58 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
26 |
$236.72 |
| D0274 |
Bitewings - four radiographic images |
16 |
12 |
$148.62 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$143.89 |