ABBIE J OTTO DDS PC
NPI: 1962811091
· HOLSTEIN, IA 51025
· Preferred Provider Organization
· NPI assigned 08/02/2014
Provider Details
| Authorized Official | OTTO, ABBIE (OWNER) |
| NPI Enumeration Date | 08/02/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$862.58 |
| 2019 |
26 |
$554.68 |
| 2021 |
144 |
$4K |
| 2022 |
184 |
$5K |
| 2023 |
12 |
$377.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
173 |
173 |
$4K |
| D1206 |
Topical application of fluoride varnish |
145 |
144 |
$3K |
| D1120 |
Prophylaxis - child |
63 |
63 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
28 |
12 |
$2K |