NICOLLET FAMILY DENTISTRY
NPI: 1841915741
· NEW HOPE, MN 55427
· Dental Clinic/Center
· NPI assigned 10/04/2022
Provider Details
| Authorized Official | CHARLES, TRACEY (DOCTOR/OWNER) |
| NPI Enumeration Date | 10/04/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
142 |
$3K |
| 2023 |
711 |
$44K |
| 2024 |
353 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
30 |
29 |
$29K |
| D0140 |
Limited oral evaluation - problem focused |
389 |
346 |
$13K |
| D5120 |
|
13 |
12 |
$13K |
| D0330 |
Panoramic radiographic image |
133 |
130 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
35 |
13 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
248 |
220 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
339 |
129 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$505.78 |