AVON DENTAL CLINIC PA
NPI: 1922137447
· AVON, MN 56310
· General Practice Dentistry
· NPI assigned 03/02/2007
Provider Details
| Authorized Official | KALIS, CHERYL (RECEPTIONIST) |
| NPI Enumeration Date | 03/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$0.00 |
| 2019 |
14 |
$358.84 |
| 2020 |
84 |
$2K |
| 2021 |
95 |
$2K |
| 2022 |
24 |
$831.38 |
| 2023 |
173 |
$6K |
| 2024 |
95 |
$3K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
402 |
401 |
$11K |
| D1110 |
Prophylaxis - adult |
39 |
38 |
$2K |
| D1206 |
Topical application of fluoride varnish |
42 |
42 |
$1K |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$622.60 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$476.23 |