NPI: 1952577611 · STORM LAKE, IA 50588 · General Practice Dentistry · NPI assigned 05/02/2008
Authorized official SKOGLUND, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | SKOGLUND, CHARLES (OWNER) |
| NPI Enumeration Date | 05/02/2008 |
Other providers sharing the same authorized official: SKOGLUND, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,133 | $29K |
| 2019 | 1,222 | $37K |
| 2020 | 1,075 | $31K |
| 2021 | 3,422 | $94K |
| 2022 | 2,607 | $61K |
| 2023 | 2,410 | $60K |
| 2024 | 397 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 3,372 | 3,291 | $79K |
| D1120 | Prophylaxis - child | 2,129 | 2,065 | $72K |
| D1206 | Topical application of fluoride varnish | 3,662 | 3,537 | $71K |
| D1110 | Prophylaxis - adult | 817 | 799 | $34K |
| D1351 | Sealant - per tooth | 890 | 201 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 179 | 116 | $17K |
| D0274 | Bitewings - four radiographic images | 491 | 478 | $13K |
| D0272 | Bitewings - two radiographic images | 435 | 417 | $9K |
| D4346 | 91 | 89 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 103 | 100 | $1K |
| D0330 | Panoramic radiographic image | 16 | 16 | $872.25 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12 | 12 | $817.49 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 17 | 12 | $654.39 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 14 | 13 | $222.20 |
| D0150 | Comprehensive oral evaluation - new or established patient | 19 | 12 | $121.60 |
| D1354 | 19 | 14 | $94.90 |