FIRST DENTAL LLC
NPI: 1174038327
· FAIRFIELD, CT 06824
· General Practice Dentistry
· NPI assigned 12/11/2017
Provider Details
| Authorized Official | NA, CHANG HYUN (OWNER) |
| NPI Enumeration Date | 12/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$399.36 |
| 2020 |
113 |
$2K |
| 2021 |
304 |
$6K |
| 2022 |
341 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
197 |
197 |
$4K |
| D0274 |
Bitewings - four radiographic images |
107 |
107 |
$3K |
| D1110 |
Prophylaxis - adult |
96 |
96 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
210 |
201 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
121 |
120 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$806.30 |