LISBON FAMILY DENTAL CARE
NPI: 1083003255
· LISBON FALLS, ME 04252
· Dentist
· NPI assigned 01/12/2015
Provider Details
| Authorized Official | PULKKA, JENNA (DENTIST) |
| NPI Enumeration Date | 01/12/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
16 |
$144.00 |
| 2023 |
52 |
$998.72 |
| 2024 |
174 |
$4K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
102 |
75 |
$2K |
| D1206 |
Topical application of fluoride varnish |
93 |
65 |
$2K |
| D1120 |
Prophylaxis - child |
47 |
28 |
$1K |