NPI: 1952947319 · KALISPELL, MT 59901 · Dental Clinic/Center · NPI assigned 11/20/2019
| Authorized Official | SEAMAN, GREGORY (DOCTOR) |
| Parent Organization | GREGORY SEAMAN |
| NPI Enumeration Date | 11/20/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 57 | $2K |
| 2022 | 319 | $13K |
| 2023 | 472 | $16K |
| 2024 | 335 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 471 | 434 | $23K |
| D0120 | Periodic oral evaluation - established patient | 408 | 377 | $10K |
| D1206 | Topical application of fluoride varnish | 245 | 223 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 12 | $3K |
| D0274 | Bitewings - four radiographic images | 39 | 37 | $1K |