PARAMOUNT FAMILY DENTAL, LLC
NPI: 1194182725
· BOISE, ID 83704
· Public Health Dentist
· NPI assigned 01/27/2016
Provider Details
| Authorized Official | GROVER, ALLISON (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 01/27/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$117.61 |
| 2019 |
12 |
$0.00 |
| 2020 |
67 |
$2K |
| 2021 |
102 |
$3K |
| 2022 |
108 |
$4K |
| 2023 |
41 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
192 |
191 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
158 |
158 |
$202.43 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$37.37 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$0.00 |