PONCA FAMILY DENTISTRY
NPI: 1164842191
· PONCA, NE 68770
· Dentist
· NPI assigned 04/17/2014
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
570 |
$13K |
| 2019 |
385 |
$9K |
| 2020 |
327 |
$7K |
| 2021 |
625 |
$11K |
| 2022 |
853 |
$15K |
| 2023 |
620 |
$14K |
| 2024 |
589 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,259 |
1,237 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
1,025 |
1,013 |
$23K |
| D1110 |
Prophylaxis - adult |
282 |
277 |
$9K |
| D1999 |
|
811 |
711 |
$8K |
| D1120 |
Prophylaxis - child |
300 |
294 |
$8K |
| D0140 |
Limited oral evaluation - problem focused |
240 |
214 |
$4K |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$752.13 |
| D0272 |
Bitewings - two radiographic images |
13 |
12 |
$187.68 |