PRAIRIE DENTAL INC
NPI: 1942579081
· BOWMAN, ND 58623
· Dental Hygienist
· NPI assigned 12/19/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$332.20 |
| 2019 |
24 |
$547.94 |
| 2020 |
111 |
$3K |
| 2021 |
334 |
$9K |
| 2022 |
670 |
$16K |
| 2023 |
365 |
$10K |
| 2024 |
277 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
807 |
723 |
$21K |
| D1206 |
Topical application of fluoride varnish |
629 |
563 |
$14K |
| D1120 |
Prophylaxis - child |
317 |
273 |
$11K |
| D1110 |
Prophylaxis - adult |
40 |
37 |
$2K |