ALL FAMILY DENTAL CARE, LLC
NPI: 1205961166
· COOLIDGE, AZ 85228
· Dental Clinic/Center
· NPI assigned 02/22/2007
Provider Details
| Authorized Official | ALMODOVAR, MAX (OWNER) |
| NPI Enumeration Date | 02/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
226 |
$3K |
| 2019 |
226 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
253 |
232 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
77 |
71 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
35 |
34 |
$507.60 |
| D0274 |
Bitewings - four radiographic images |
19 |
19 |
$446.35 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$430.51 |
| D0230 |
Intraoral - periapical each additional radiographic image |
42 |
41 |
$338.13 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$213.93 |