BENTON FAMILY DENTISTRY
NPI: 1134646698
· BENTON, AR 72015
· General Practice Dentistry
· NPI assigned 08/25/2017
Provider Details
| Authorized Official | BETHEL, JUSTIN (OWNER) |
| NPI Enumeration Date | 08/25/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$478.80 |
| 2021 |
53 |
$2K |
| 2022 |
58 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
44 |
44 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
55 |
55 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$478.80 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$197.60 |