NICHOLAS J. FANGMAN DDS
NPI: 1922273705
· CARROLL, IA 51401
· Dentist
· NPI assigned 04/23/2008
$120K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
363 |
$9K |
| 2019 |
463 |
$12K |
| 2020 |
288 |
$7K |
| 2021 |
662 |
$16K |
| 2022 |
745 |
$17K |
| 2023 |
1,117 |
$27K |
| 2024 |
1,166 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,430 |
1,356 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
2,233 |
2,128 |
$44K |
| D1206 |
Topical application of fluoride varnish |
736 |
712 |
$14K |
| D1120 |
Prophylaxis - child |
304 |
290 |
$9K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$681.94 |
| D1208 |
Topical application of fluoride, excluding varnish |
32 |
28 |
$411.26 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
27 |
$334.83 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
12 |
$146.64 |