KINGSTON FAMILY DENTAL
NPI: 1164711925
· KINGSTON, NH 03848
· General Practice Dentistry
· NPI assigned 04/01/2011
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123 |
$3K |
| 2019 |
50 |
$1K |
| 2020 |
190 |
$2K |
| 2021 |
588 |
$8K |
| 2022 |
475 |
$6K |
| 2023 |
87 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
242 |
237 |
$7K |
| D1206 |
Topical application of fluoride varnish |
368 |
359 |
$7K |
| D1120 |
Prophylaxis - child |
122 |
118 |
$4K |
| D1110 |
Prophylaxis - adult |
31 |
30 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
66 |
$1K |
| D0274 |
Bitewings - four radiographic images |
30 |
29 |
$936.98 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$727.08 |
| D1999 |
|
641 |
581 |
$0.00 |