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AC DENTAL CARE, INC. DBA RED CLOVER FAMILY DENTISTRY
AC DENTAL CARE, INC. DBA RED CLOVER FAMILY DENTISTRY
NPI: 1194149641
· BRISTOL, VT 05443
· Dental Clinic/Center
· NPI assigned 02/04/2014
Provider Details
| Authorized Official | HILLS, LESLIE (TREASURER) |
| NPI Enumeration Date | 02/04/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
523 |
$15K |
| 2019 |
362 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
224 |
220 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
405 |
401 |
$10K |
| D1206 |
Topical application of fluoride varnish |
168 |
166 |
$3K |
| D1120 |
Prophylaxis - child |
43 |
43 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
13 |
$536.00 |
| D1354 |
|
31 |
12 |
$369.00 |