SACOPEE VALLEY FAMILY DENTISTRY LLC
NPI: 1033523014
· PORTER, ME 04068
· Dental Clinic/Center
· NPI assigned 06/17/2014
Provider Details
| Authorized Official | MURRAY, CORY (DENTIST) |
| NPI Enumeration Date | 06/17/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
299 |
$6K |
| 2019 |
168 |
$5K |
| 2020 |
381 |
$4K |
| 2021 |
504 |
$10K |
| 2022 |
247 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
547 |
425 |
$10K |
| D1120 |
Prophylaxis - child |
288 |
223 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
83 |
44 |
$5K |
| D1206 |
Topical application of fluoride varnish |
301 |
242 |
$3K |
| D1110 |
Prophylaxis - adult |
145 |
101 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
39 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
73 |
46 |
$920.00 |
| D1330 |
|
61 |
55 |
$676.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$240.00 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
25 |
$200.00 |