RUTLAND FAMILY DENTAL, PLC
NPI: 1013410331
· RUTLAND, VT 05701
· Dental Clinic/Center
· NPI assigned 03/13/2018
Provider Details
| Authorized Official | MELO, DAN (MEMBER) |
| NPI Enumeration Date | 03/13/2018 |
Related Entities
Other providers sharing the same authorized official: MELO, DAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
525 |
$16K |
| 2019 |
558 |
$17K |
| 2020 |
407 |
$13K |
| 2021 |
570 |
$21K |
| 2022 |
437 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
893 |
835 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,077 |
1,011 |
$24K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
65 |
30 |
$6K |
| D0274 |
Bitewings - four radiographic images |
143 |
137 |
$4K |
| D1206 |
Topical application of fluoride varnish |
177 |
171 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
49 |
25 |
$3K |
| D1120 |
Prophylaxis - child |
77 |
63 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
13 |
$505.00 |