CAMP SMILE PEDIATRIC DENTISTRY CHASKA
NPI: 1932671765
· CHASKA, MN 55318
· Pediatric Dentist
· NPI assigned 12/18/2018
Provider Details
Related Entities
Other providers sharing the same authorized official: AUGUSTYN, BOBBI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$262.48 |
| 2024 |
59 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
33 |
30 |
$1K |
| D1206 |
Topical application of fluoride varnish |
25 |
24 |
$589.22 |
| D1120 |
Prophylaxis - child |
13 |
12 |
$431.74 |