WEEDER PEDIATRIC DENTISTRY, PC
NPI: 1962233502
· LA VISTA, NE 68128
· Pediatric Dentist
· NPI assigned 08/13/2024
Provider Details
| Authorized Official | WEEDER, GREGORY (OWNER/PEDIATRIC DENTIST) |
| NPI Enumeration Date | 08/13/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
543 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
163 |
163 |
$5K |
| D1206 |
Topical application of fluoride varnish |
175 |
174 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
146 |
145 |
$4K |
| D0272 |
Bitewings - two radiographic images |
59 |
59 |
$1K |