FAMILY DENTISTRY SC
NPI: 1205915287
· NEW RICHMOND, WI 54017
· General Practice Dentistry
· NPI assigned 11/02/2006
Provider Details
| Authorized Official | MIKE, JOHN (DENTIST) |
| NPI Enumeration Date | 11/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
83 |
$1K |
| 2019 |
150 |
$2K |
| 2020 |
85 |
$1K |
| 2021 |
205 |
$3K |
| 2022 |
252 |
$6K |
| 2023 |
357 |
$7K |
| 2024 |
148 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
447 |
419 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
821 |
763 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$152.68 |