JORDAN CREEK PEDIATRIC DENTISTRY
NPI: 1952092892
· WEST DES MOINES, IA 50266
· Pediatric Dentist
· NPI assigned 05/19/2023
Provider Details
| Authorized Official | LEONARD, HANS (DENTIST) |
| NPI Enumeration Date | 05/19/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
157 |
$3K |
| 2024 |
324 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
157 |
156 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
173 |
172 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
151 |
151 |
$3K |