KALONA FAMILY DENTAL, PLC
NPI: 1942827811
· KALONA, IA 52247
· General Practice Dentistry
· NPI assigned 06/26/2020
Provider Details
| Authorized Official | GRIMM, TAMARA (MANAGING MEMBER, OWNER) |
| NPI Enumeration Date | 06/26/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
462 |
$12K |
| 2023 |
548 |
$14K |
| 2024 |
419 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
570 |
540 |
$13K |
| D1120 |
Prophylaxis - child |
377 |
357 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
418 |
399 |
$9K |
| D1110 |
Prophylaxis - adult |
38 |
38 |
$2K |
| D0272 |
Bitewings - two radiographic images |
26 |
25 |
$705.78 |