BRYCE D HANSON, DMD PA
NPI: 1851798045
· SHELLEY, ID 83274
· Dental Clinic/Center
· NPI assigned 12/03/2014
Provider Details
| Authorized Official | HANSON, BRYCE (OWNER) |
| NPI Enumeration Date | 12/03/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
231 |
$4K |
| 2023 |
14 |
$0.00 |
| 2024 |
177 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
41 |
41 |
$4K |
| D1120 |
Prophylaxis - child |
41 |
41 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
221 |
221 |
$70.86 |
| D1206 |
Topical application of fluoride varnish |
119 |
119 |
$42.72 |