HASENFUS FAMILY DENTAL, LLC
NPI: 1073040184
· AUGUSTA, ME 04330
· Dental Clinic/Center
· NPI assigned 05/19/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
71 |
$2K |
| 2019 |
14 |
$360.00 |
| 2020 |
107 |
$3K |
| 2021 |
124 |
$3K |
| 2022 |
26 |
$736.06 |
| 2023 |
77 |
$3K |
| 2024 |
67 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
262 |
244 |
$7K |
| D1120 |
Prophylaxis - child |
85 |
80 |
$3K |
| D1206 |
Topical application of fluoride varnish |
124 |
119 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
12 |
$144.00 |