MAPLE PARK DENTAL ASSOCIATES PC
NPI: 1902059397
· NORTH PLATTE, NE 69101
· General Practice Dentistry
· NPI assigned 10/29/2008
Provider Details
| Authorized Official | LASHLEY, LIBBY (CLINIC COORDINATOR) |
| NPI Enumeration Date | 10/29/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$550.00 |
| 2019 |
65 |
$1K |
| 2020 |
26 |
$475.29 |
| 2021 |
82 |
$2K |
| 2022 |
17 |
$385.35 |
| 2023 |
96 |
$2K |
| 2024 |
229 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
372 |
360 |
$8K |
| D1206 |
Topical application of fluoride varnish |
50 |
49 |
$1K |
| D1110 |
Prophylaxis - adult |
38 |
30 |
$1K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$247.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$234.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$171.15 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
12 |
$124.64 |