IMHOLTE & ANDERSON PLLC
NPI: 1942318829
· KELSO, WA 98626
· General Practice Dentistry
· NPI assigned 08/29/2006
Provider Details
| Authorized Official | BROYLES, PENNIE (OFFICE MANAGER) |
| NPI Enumeration Date | 08/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
557 |
$11K |
| 2019 |
584 |
$11K |
| 2020 |
416 |
$9K |
| 2021 |
172 |
$3K |
| 2022 |
77 |
$2K |
| 2023 |
14 |
$486.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,008 |
979 |
$22K |
| D1120 |
Prophylaxis - child |
421 |
409 |
$9K |
| D1206 |
Topical application of fluoride varnish |
379 |
370 |
$6K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$429.39 |