CRYSTAL CHOPP, DDS, PLLC
NPI: 1831812007
· ELY, MN 55731
· Dental Clinic/Center
· NPI assigned 09/22/2022
$132K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
414 |
$17K |
| 2023 |
1,619 |
$61K |
| 2024 |
1,259 |
$54K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
875 |
863 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
1,125 |
1,122 |
$39K |
| D0274 |
Bitewings - four radiographic images |
377 |
373 |
$16K |
| D1206 |
Topical application of fluoride varnish |
450 |
442 |
$14K |
| D1120 |
Prophylaxis - child |
214 |
210 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
97 |
95 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
130 |
47 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$499.76 |