BLUE RIDGE DENTAL CENTER PA
NPI: 1952468654
· MINNETONKA, MN 55305
· General Practice Dentistry
· NPI assigned 01/02/2007
Provider Details
| Authorized Official | MCHUGH, JUSTIN (VICE PRESIDENT) |
| NPI Enumeration Date | 01/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$422.89 |
| 2021 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
37 |
37 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$181.92 |