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ROME FAMILY DENTAL SERVICE P.C.
ROME FAMILY DENTAL SERVICE P.C.
NPI: 1114080041
· ROME, NY 13440
· Dentist
· NPI assigned 12/19/2006
Provider Details
| Authorized Official | BALLINI, ALBINO (PRESIDENT) |
| NPI Enumeration Date | 12/19/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
446 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
99 |
99 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
98 |
98 |
$3K |
| D0330 |
Panoramic radiographic image |
71 |
71 |
$2K |
| D1120 |
Prophylaxis - child |
32 |
32 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
61 |
61 |
$784.00 |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$783.00 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
32 |
$448.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$350.00 |