COASTAL FAMILY HEALTH CENTER
NPI: 1124288501
· GULFPORT, MS 39501
· Dental Clinic/Center
· NPI assigned 06/10/2008
Provider Details
| Authorized Official | DAWSEY, JOE (CEO) |
| NPI Enumeration Date | 06/10/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
141 |
$2K |
| 2019 |
261 |
$9K |
| 2020 |
131 |
$6K |
| 2022 |
12 |
$113.54 |
| 2023 |
16 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
251 |
210 |
$9K |
| D1351 |
Sealant - per tooth |
208 |
72 |
$6K |
| D0999 |
Unspecified diagnostic procedure, by report |
16 |
14 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
20 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$577.53 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$113.54 |
| D1206 |
Topical application of fluoride varnish |
23 |
18 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
12 |
$0.00 |