RAY FAMILY DENTISTRY, PLLC
NPI: 1043959885
· FAIRMONT, WV 26554
· Dental Clinic/Center
· NPI assigned 05/31/2022
Provider Details
| Authorized Official | RAY, TIMOTHY (OWNER) |
| NPI Enumeration Date | 05/31/2022 |
Related Entities
Other providers sharing the same authorized official: RAY, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
14 |
$196.41 |
| 2024 |
1,019 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
126 |
55 |
$13K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
105 |
48 |
$8K |
| D1120 |
Prophylaxis - child |
118 |
118 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
175 |
174 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
118 |
97 |
$4K |
| D1206 |
Topical application of fluoride varnish |
153 |
153 |
$3K |
| D9248 |
|
19 |
14 |
$2K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
61 |
50 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
69 |
58 |
$1K |
| D0272 |
Bitewings - two radiographic images |
30 |
30 |
$797.50 |
| D9630 |
|
19 |
14 |
$192.00 |