SEDRO WOOLLEY FAMILY DENTAL CENTER, P.S.
NPI: 1184963845
· SEDRO WOOLLEY, WA 98284
· Dental Clinic/Center
· NPI assigned 01/31/2013
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
616 |
$11K |
| 2019 |
867 |
$15K |
| 2020 |
359 |
$7K |
| 2021 |
242 |
$4K |
| 2022 |
237 |
$5K |
| 2023 |
352 |
$9K |
| 2024 |
125 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,086 |
1,032 |
$23K |
| D1110 |
Prophylaxis - adult |
281 |
259 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
673 |
635 |
$8K |
| D1120 |
Prophylaxis - child |
389 |
364 |
$8K |
| D1206 |
Topical application of fluoride varnish |
186 |
164 |
$3K |
| D0274 |
Bitewings - four radiographic images |
105 |
92 |
$1K |
| D0272 |
Bitewings - two radiographic images |
65 |
64 |
$637.98 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$403.68 |