201 WATER FRONT DENTAL LLC
NPI: 1902912165
· FORT ATKINSON, WI 53538
· General Practice Dentistry
· NPI assigned 08/21/2006
Provider Details
| Authorized Official | BENDER, MICHAEL (1ST VICE PRESIDENT) |
| NPI Enumeration Date | 08/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,622 |
$24K |
| 2019 |
898 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
761 |
725 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
919 |
885 |
$11K |
| D1206 |
Topical application of fluoride varnish |
625 |
604 |
$7K |
| D0274 |
Bitewings - four radiographic images |
159 |
145 |
$2K |
| D1120 |
Prophylaxis - child |
56 |
56 |
$1K |