KRISTIAN DIETZ, DDS

Dentist · BENTONVILLE, AR

Individual Active NPI 1154550382

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	55	216	$30,545	$13,022	$10,260
2023	17	60	$8,227	$3,446	$2,746

HCPCS	Description	Services	Avg allowed	Avg paid
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	145	$46	$36
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	41	$61	$49
99443	Telephone medical discussion with physician, 21-30 minutes	28	$85	$67

Specialty	Code	Primary	License	State
Dentist	122300000X	✓	2009014596	MO

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.