PRESCOTT FAMILY DENTAL
NPI: 1093113789
· PRESCOTT, WI 54021
· General Practice Dentistry
· NPI assigned 12/11/2014
Provider Details
| Authorized Official | ERICKSON, CASSIE (OFFICE MANAGER) |
| NPI Enumeration Date | 12/11/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$320.52 |
| 2019 |
12 |
$180.48 |
| 2020 |
60 |
$0.00 |
| 2022 |
28 |
$601.67 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
54 |
54 |
$975.77 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$126.90 |
| D1999 |
|
60 |
50 |
$0.00 |