BRAFMAN FAMILY DENTISTRY PA
NPI: 1134231509
· DAGSBORO, DE 19939
· General Practice Dentistry
· NPI assigned 08/31/2006
$109K
Total Medicaid Paid
Provider Details
| Authorized Official | BRAFMAN, WENDY (DENTIST) |
| NPI Enumeration Date | 08/31/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,198 |
$66K |
| 2019 |
1,261 |
$41K |
| 2020 |
53 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
431 |
423 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
575 |
547 |
$22K |
| D1120 |
Prophylaxis - child |
259 |
255 |
$14K |
| D0220 |
Intraoral - periapical first radiographic image |
568 |
553 |
$14K |
| D1206 |
Topical application of fluoride varnish |
360 |
349 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
571 |
545 |
$12K |
| D1110 |
Prophylaxis - adult |
83 |
82 |
$6K |
| D1351 |
Sealant - per tooth |
100 |
28 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
96 |
96 |
$3K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$420.55 |
| D0602 |
|
456 |
448 |
$0.00 |