MEAD AVENUE FAMILY DENTISTRY PC
NPI: 1033222815
· MEADVILLE, PA 16335
· Dentist
· NPI assigned 08/16/2006
Provider Details
| Authorized Official | HAECK, AMY (SECRETARY) |
| NPI Enumeration Date | 08/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
87 |
$2K |
| 2021 |
392 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
105 |
101 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
182 |
173 |
$4K |
| D1206 |
Topical application of fluoride varnish |
107 |
102 |
$2K |
| D1120 |
Prophylaxis - child |
58 |
57 |
$2K |
| D0274 |
Bitewings - four radiographic images |
27 |
25 |
$728.00 |