GLACIER DENTAL GROUP, PC
NPI: 1891830360
· KALISPELL, MT 59901
· General Practice Dentistry
· NPI assigned 02/21/2007
Provider Details
| Authorized Official | KEIM, DAVID (PRESIDENT) |
| NPI Enumeration Date | 02/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
259 |
$10K |
| 2019 |
365 |
$13K |
| 2020 |
259 |
$10K |
| 2021 |
142 |
$7K |
| 2022 |
154 |
$7K |
| 2023 |
206 |
$9K |
| 2024 |
58 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
908 |
881 |
$45K |
| D0120 |
Periodic oral evaluation - established patient |
307 |
301 |
$8K |
| D0274 |
Bitewings - four radiographic images |
96 |
90 |
$3K |
| D1206 |
Topical application of fluoride varnish |
132 |
131 |
$2K |