RAINTREE DENTAL
NPI: 1992847453
· DAYTON, MN 55327
· General Practice Dentistry
· NPI assigned 02/13/2007
Provider Details
| Authorized Official | AYDT, PATRICK (OWNER) |
| NPI Enumeration Date | 02/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
503 |
$511.98 |
| 2019 |
261 |
$7K |
| 2020 |
80 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
449 |
448 |
$4K |
| D1110 |
Prophylaxis - adult |
251 |
248 |
$4K |
| D1120 |
Prophylaxis - child |
65 |
65 |
$471.20 |
| D0274 |
Bitewings - four radiographic images |
79 |
78 |
$442.90 |