DAWSON FAMILY DENTISTRY
NPI: 1144740366
· DANVILLE, IN 46122
· Dentist
· NPI assigned 06/20/2017
Provider Details
| Authorized Official | KAMINSKI, AMY (BUSINESS MANAGER) |
| NPI Enumeration Date | 06/20/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$143.25 |
| 2019 |
353 |
$13K |
| 2020 |
318 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
155 |
146 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
174 |
157 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
176 |
160 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
72 |
63 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
12 |
$2K |
| D1120 |
Prophylaxis - child |
29 |
25 |
$862.50 |
| D1206 |
Topical application of fluoride varnish |
45 |
41 |
$667.50 |
| D1999 |
|
102 |
81 |
$423.36 |