SANDHILLS FAMILY DENTAL, P.C.
NPI: 1164856084
· VALENTINE, NE 69201
· General Practice Dentistry
· NPI assigned 08/27/2013
Provider Details
| Authorized Official | RUSSELL, KELLY (PARTNER, DENTIST) |
| NPI Enumeration Date | 08/27/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
849 |
$16K |
| 2019 |
389 |
$8K |
| 2020 |
679 |
$12K |
| 2021 |
186 |
$3K |
| 2022 |
79 |
$1K |
| 2023 |
139 |
$3K |
| 2024 |
160 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
705 |
699 |
$17K |
| D1120 |
Prophylaxis - child |
398 |
396 |
$11K |
| D1206 |
Topical application of fluoride varnish |
374 |
362 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
324 |
318 |
$6K |
| D1999 |
|
273 |
262 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
215 |
211 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$878.48 |
| D0230 |
Intraoral - periapical each additional radiographic image |
149 |
140 |
$758.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$247.00 |