MAPLE FAMILY DENTISTRY LLC
NPI: 1073656740
· LOGANSPORT, IN 46947
· General Practice Dentistry
· NPI assigned 02/14/2007
Provider Details
| Authorized Official | MAPLE, WENDY (OWNER) |
| NPI Enumeration Date | 02/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$67.74 |
| 2019 |
55 |
$1K |
| 2020 |
33 |
$573.97 |
| 2021 |
17 |
$394.23 |
| 2022 |
16 |
$358.11 |
| 2023 |
105 |
$2K |
| 2024 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
233 |
195 |
$4K |
| D1110 |
Prophylaxis - adult |
32 |
30 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$246.29 |