SPROUT PEDIATRIC DENTAL
NPI: 1902525264
· HONESDALE, PA 18431
· Pediatric Dentist
· NPI assigned 08/22/2022
Provider Details
| Authorized Official | SCHLOESSER, KATHERINE (DMD/OWNER) |
| Parent Organization | SPROUT PEDIATRIC DENTAL |
| NPI Enumeration Date | 08/22/2022 |
Related Entities
Other providers sharing the same authorized official: SCHLOESSER, KATHERINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
270 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
87 |
87 |
$2K |
| D1206 |
Topical application of fluoride varnish |
93 |
92 |
$2K |
| D9920 |
|
14 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
46 |
46 |
$2K |
| D0603 |
|
15 |
15 |
$150.00 |
| D1330 |
|
15 |
15 |
$75.00 |