KANDI DENTAL CENTER, PA
NPI: 1831835156
· WILLMAR, MN 56201
· Dental Clinic/Center
· NPI assigned 05/10/2022
$139K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
895 |
$33K |
| 2023 |
1,548 |
$58K |
| 2024 |
1,328 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
859 |
837 |
$44K |
| D0120 |
Periodic oral evaluation - established patient |
1,109 |
1,088 |
$36K |
| D1206 |
Topical application of fluoride varnish |
1,056 |
1,035 |
$29K |
| D0274 |
Bitewings - four radiographic images |
472 |
463 |
$19K |
| D1120 |
Prophylaxis - child |
257 |
253 |
$9K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
13 |
$2K |