BOHLMAN, BROCK
NPI: 1891878484
· BOISE, ID 83703
· General Practice Dentistry
· NPI assigned 10/24/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
725 |
$14K |
| 2019 |
366 |
$9K |
| 2020 |
69 |
$3K |
| 2021 |
70 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
332 |
332 |
$28K |
| D0120 |
Periodic oral evaluation - established patient |
352 |
352 |
$649.54 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$476.70 |
| D0274 |
Bitewings - four radiographic images |
99 |
99 |
$23.82 |
| D1208 |
Topical application of fluoride, excluding varnish |
286 |
286 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$0.00 |
| D1351 |
Sealant - per tooth |
130 |
13 |
$0.00 |