SALO DENTAL
NPI: 1891419818
· MINNEAPOLIS, MN 55441
· Dental Clinic/Center
· NPI assigned 10/03/2022
Provider Details
| Authorized Official | WISE, CARRIE (CFO) |
| NPI Enumeration Date | 10/03/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
82 |
$3K |
| 2023 |
429 |
$14K |
| 2024 |
210 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
206 |
196 |
$7K |
| D1206 |
Topical application of fluoride varnish |
221 |
211 |
$6K |
| D1110 |
Prophylaxis - adult |
106 |
95 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
103 |
95 |
$2K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$1K |
| D1120 |
Prophylaxis - child |
27 |
26 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
27 |
$514.95 |