SARA A ANDERSON, DDS, PC
NPI: 1912082884
· ELDORA, IA 50627
· General Practice Dentistry
· NPI assigned 10/26/2006
Provider Details
| Authorized Official | ANDERSON, SARA (PRESIDENT) |
| NPI Enumeration Date | 10/26/2006 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, SARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$520.00 |
| 2020 |
29 |
$602.76 |
| 2021 |
719 |
$15K |
| 2022 |
848 |
$17K |
| 2023 |
980 |
$23K |
| 2024 |
556 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
836 |
835 |
$17K |
| D1110 |
Prophylaxis - adult |
399 |
398 |
$16K |
| D1208 |
Topical application of fluoride, excluding varnish |
560 |
559 |
$9K |
| D1120 |
Prophylaxis - child |
266 |
266 |
$7K |
| D0274 |
Bitewings - four radiographic images |
285 |
285 |
$7K |
| D1351 |
Sealant - per tooth |
259 |
28 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
307 |
295 |
$3K |
| D1206 |
Topical application of fluoride varnish |
106 |
106 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$622.66 |
| D0230 |
Intraoral - periapical each additional radiographic image |
75 |
43 |
$561.24 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
26 |
25 |
$489.93 |