REARDON DENTAL CLINIC PROF LLC
NPI: 1902226004
· YANKTON, SD 57078
· General Practice Dentistry
· NPI assigned 04/16/2014
$241K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: REARDON, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
879 |
$26K |
| 2019 |
1,006 |
$31K |
| 2020 |
679 |
$22K |
| 2021 |
818 |
$24K |
| 2022 |
1,246 |
$39K |
| 2023 |
823 |
$25K |
| 2024 |
1,075 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,645 |
1,629 |
$49K |
| D1120 |
Prophylaxis - child |
972 |
970 |
$37K |
| D1110 |
Prophylaxis - adult |
654 |
647 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,562 |
1,550 |
$36K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
108 |
25 |
$25K |
| D0272 |
Bitewings - two radiographic images |
726 |
726 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
329 |
329 |
$15K |
| D0274 |
Bitewings - four radiographic images |
358 |
351 |
$15K |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
27 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
54 |
53 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
91 |
91 |
$2K |