JEFFERSONVILLE FAMILY DENTAL, PC
NPI: 1144696600
· JEFFERSONVILLE, IN 47130
· Dentist
· NPI assigned 08/19/2015
Provider Details
| Authorized Official | SMITH, JAMES (PRESIDENT) |
| NPI Enumeration Date | 08/19/2015 |
Related Entities
Other providers sharing the same authorized official: SMITH, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
113 |
$2K |
| 2021 |
299 |
$10K |
| 2022 |
447 |
$16K |
| 2023 |
502 |
$20K |
| 2024 |
556 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
637 |
556 |
$30K |
| D0120 |
Periodic oral evaluation - established patient |
533 |
457 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
125 |
105 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
203 |
172 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
185 |
170 |
$7K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
47 |
25 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
94 |
82 |
$990.14 |
| D0274 |
Bitewings - four radiographic images |
33 |
24 |
$935.42 |
| D0330 |
Panoramic radiographic image |
15 |
13 |
$642.80 |
| D1999 |
|
45 |
40 |
$0.00 |