FAMILY DENTAL PRACTICE, LLC
NPI: 1033266606
· AUGUSTA, ME 04330
· General Practice Dentistry
· NPI assigned 01/04/2007
Provider Details
| Authorized Official | MUNIER, CHARLES (GENERAL PARTNER) |
| NPI Enumeration Date | 01/04/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$288.00 |
| 2019 |
27 |
$316.00 |
| 2020 |
71 |
$1K |
| 2021 |
556 |
$13K |
| 2022 |
869 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
270 |
253 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
225 |
215 |
$6K |
| D1120 |
Prophylaxis - child |
185 |
179 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
366 |
355 |
$4K |
| D1206 |
Topical application of fluoride varnish |
162 |
159 |
$3K |
| D0274 |
Bitewings - four radiographic images |
89 |
89 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
42 |
$2K |
| D0330 |
Panoramic radiographic image |
43 |
43 |
$2K |
| D0190 |
|
101 |
101 |
$1K |
| D1320 |
|
51 |
50 |
$1K |
| D0191 |
|
14 |
14 |
$0.00 |