SCOTT W NIEMAN DDS INC
NPI: 1891885596
· WESTERVILLE, OH 43082
· Pediatric Dentist
· NPI assigned 10/13/2006
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | NIEMAN, SCOTT (PRACTICE OWNER) |
| NPI Enumeration Date | 10/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,191 |
$20K |
| 2019 |
1,169 |
$21K |
| 2020 |
790 |
$13K |
| 2021 |
765 |
$14K |
| 2022 |
784 |
$14K |
| 2023 |
591 |
$9K |
| 2024 |
620 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,211 |
2,123 |
$39K |
| D1110 |
Prophylaxis - adult |
730 |
706 |
$24K |
| D1206 |
Topical application of fluoride varnish |
1,625 |
1,557 |
$22K |
| D1120 |
Prophylaxis - child |
1,056 |
1,019 |
$20K |
| D1208 |
Topical application of fluoride, excluding varnish |
173 |
166 |
$2K |
| D0272 |
Bitewings - two radiographic images |
101 |
101 |
$990.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
12 |
$240.00 |