RIVERSIDE DENTAL CARE,LLC
NPI: 1861579658
· SAINT PETER, MN 56082
· General Practice Dentistry
· NPI assigned 11/01/2006
Provider Details
| Authorized Official | LUND, MICHELLE (OWNER) |
| NPI Enumeration Date | 11/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
133 |
$291.58 |
| 2019 |
52 |
$1K |
| 2020 |
234 |
$4K |
| 2021 |
314 |
$8K |
| 2022 |
256 |
$8K |
| 2023 |
211 |
$6K |
| 2024 |
124 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
655 |
646 |
$15K |
| D1110 |
Prophylaxis - adult |
153 |
152 |
$7K |
| D1206 |
Topical application of fluoride varnish |
213 |
212 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
188 |
182 |
$3K |
| D0274 |
Bitewings - four radiographic images |
59 |
58 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
41 |
13 |
$344.82 |
| D1999 |
|
15 |
14 |
$0.00 |