SORENSON, BRENT
NPI: 1952713026
· HUGO, MN 55038
· General Practice Dentistry
· NPI assigned 05/23/2014
$920.38
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
232 |
$920.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
30 |
30 |
$374.99 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
43 |
43 |
$192.44 |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$177.30 |
| D0230 |
Intraoral - periapical each additional radiographic image |
60 |
41 |
$94.64 |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
44 |
$81.01 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$0.00 |