BALATON DENTAL CLINIC,INC
NPI: 1982031878
· BALATON, MN 56115
· General Practice Dentistry
· NPI assigned 10/09/2013
$110K
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, RICHARD (OWNER/DENTIST) |
| NPI Enumeration Date | 10/09/2013 |
Related Entities
Other providers sharing the same authorized official: BROWN, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
876 |
$2K |
| 2019 |
540 |
$14K |
| 2020 |
373 |
$10K |
| 2021 |
465 |
$12K |
| 2022 |
631 |
$23K |
| 2023 |
823 |
$30K |
| 2024 |
512 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
901 |
898 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,478 |
1,474 |
$36K |
| D1206 |
Topical application of fluoride varnish |
1,169 |
1,165 |
$21K |
| D1120 |
Prophylaxis - child |
394 |
394 |
$7K |
| D0274 |
Bitewings - four radiographic images |
246 |
245 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$157.46 |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
19 |
13 |
$0.00 |