MADISON FAMILY DENTAL PROF LLC
NPI: 1184279036
· MADISON, SD 57042
· General Practice Dentistry
· NPI assigned 08/07/2019
Provider Details
| Authorized Official | KEYES, TROY (OWNER/DDS) |
| NPI Enumeration Date | 08/07/2019 |
Related Entities
Other providers sharing the same authorized official: KEYES, TROY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
72 |
$2K |
| 2020 |
133 |
$4K |
| 2021 |
244 |
$8K |
| 2022 |
496 |
$16K |
| 2023 |
414 |
$11K |
| 2024 |
316 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
781 |
768 |
$24K |
| D1206 |
Topical application of fluoride varnish |
618 |
613 |
$15K |
| D1110 |
Prophylaxis - adult |
142 |
142 |
$7K |
| D1120 |
Prophylaxis - child |
107 |
107 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$580.41 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$514.48 |