MOUNTAIN VIEW FAMILY DENTISTRY & ORTHODONTICS LLC
NPI: 1073158382
· RIO RANCHO, NM 87144
· General Practice Dentistry
· NPI assigned 11/11/2019
Provider Details
| Authorized Official | SEXTON, DANA (GENERAL MANAGER) |
| NPI Enumeration Date | 11/11/2019 |
Related Entities
Other providers sharing the same authorized official: SEXTON, DANA
| Provider | City | State | Total Paid |
|---|
| NMBFD LTD |
BOSQUE FARMS |
NM |
$129K |
| DD LLC |
MARICOPA |
AZ |
$16K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
137 |
$4K |
| 2021 |
155 |
$5K |
| 2022 |
184 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
183 |
183 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
112 |
112 |
$4K |
| D1110 |
Prophylaxis - adult |
91 |
91 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
65 |
64 |
$706.77 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$404.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$116.69 |