MCCOOK COUNTY DENTALCENTER,PC
NPI: 1962615344
· SALEM, SD 57058
· General Practice Dentistry
· NPI assigned 05/08/2007
Provider Details
| Authorized Official | DICK, MARY (OWNER) |
| NPI Enumeration Date | 05/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$791.52 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$424.06 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$240.37 |