DAVID D. OLSON, DDS, MS, PA
NPI: 1851620702
· RALEIGH, NC 27614
· Pediatric Dentist
· NPI assigned 12/23/2009
$183K
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, DAVID (OWNER) |
| NPI Enumeration Date | 12/23/2009 |
Related Entities
Other providers sharing the same authorized official: OLSON, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,265 |
$23K |
| 2019 |
1,079 |
$23K |
| 2020 |
915 |
$21K |
| 2021 |
1,026 |
$24K |
| 2022 |
983 |
$23K |
| 2023 |
1,484 |
$36K |
| 2024 |
1,417 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,604 |
2,514 |
$67K |
| D1120 |
Prophylaxis - child |
1,878 |
1,797 |
$47K |
| D1206 |
Topical application of fluoride varnish |
2,788 |
2,678 |
$44K |
| D1110 |
Prophylaxis - adult |
325 |
324 |
$13K |
| D0272 |
Bitewings - two radiographic images |
330 |
329 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
80 |
78 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
126 |
126 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$436.15 |
| D1999 |
|
25 |
24 |
$0.00 |