SALMONS, IVAN
NPI: 1952488645
· SIOUX CITY, IA 51104
· General Practice Dentistry
· NPI assigned 11/01/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
120 |
$3K |
| 2019 |
77 |
$2K |
| 2020 |
37 |
$832.55 |
| 2021 |
24 |
$602.80 |
| 2022 |
14 |
$210.70 |
| 2023 |
12 |
$195.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
97 |
94 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
149 |
147 |
$2K |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$405.98 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$227.72 |