SELLE FAMILY DENTAL, PC
NPI: 1932361524
· DICKINSON, ND 58601
· Dental Clinic/Center
· NPI assigned 06/26/2008
Provider Details
| Authorized Official | SELLE, SHANNON (VICE PRESIDENT) |
| NPI Enumeration Date | 06/26/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
26 |
$597.10 |
| 2024 |
69 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
25 |
25 |
$885.46 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$761.94 |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$722.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$330.59 |