PINE RIVER DENTAL ARTS, P.C.
NPI: 1962851071
· PINE RIVER, MN 56474
· General Practice Dentistry
· NPI assigned 06/09/2016
Provider Details
| Authorized Official | PREBLE, JAIME (OWNER) |
| NPI Enumeration Date | 06/09/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
542 |
$340.73 |
| 2019 |
306 |
$8K |
| 2020 |
87 |
$2K |
| 2021 |
459 |
$7K |
| 2022 |
283 |
$11K |
| 2023 |
311 |
$12K |
| 2024 |
12 |
$382.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
936 |
925 |
$21K |
| D1110 |
Prophylaxis - adult |
358 |
355 |
$13K |
| D0274 |
Bitewings - four radiographic images |
119 |
118 |
$3K |
| D1120 |
Prophylaxis - child |
194 |
193 |
$3K |
| D1206 |
Topical application of fluoride varnish |
188 |
187 |
$2K |
| D9985 |
|
205 |
188 |
$0.00 |