NPI: 1932363165 · KALISPELL, MT 59901 · General Practice Dentistry · NPI assigned 07/16/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,164 | $40K |
| 2019 | 1,104 | $44K |
| 2020 | 995 | $36K |
| 2021 | 928 | $34K |
| 2022 | 826 | $31K |
| 2023 | 562 | $24K |
| 2024 | 134 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,738 | 1,678 | $96K |
| D0120 | Periodic oral evaluation - established patient | 1,312 | 1,272 | $37K |
| D1206 | Topical application of fluoride varnish | 1,484 | 1,437 | $36K |
| D0274 | Bitewings - four radiographic images | 766 | 747 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 65 | 26 | $6K |
| D1120 | Prophylaxis - child | 142 | 134 | $5K |
| D0330 | Panoramic radiographic image | 51 | 51 | $3K |
| D0601 | 155 | 149 | $1K |