ASHVILLE FAMILY DENTISTRY, LLC
NPI: 1215086251
· ASHVILLE, AL 35953
· General Practice Dentistry
· NPI assigned 01/09/2007
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | JORDAN, JASON (OWNER-ASHVILLE FAMILY DENTISTRY) |
| NPI Enumeration Date | 01/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
825 |
$16K |
| 2019 |
651 |
$12K |
| 2020 |
841 |
$16K |
| 2021 |
948 |
$19K |
| 2022 |
840 |
$16K |
| 2023 |
830 |
$17K |
| 2024 |
646 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,568 |
1,525 |
$28K |
| D1999 |
|
1,152 |
1,010 |
$22K |
| D1120 |
Prophylaxis - child |
775 |
748 |
$21K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,447 |
1,400 |
$20K |
| D1110 |
Prophylaxis - adult |
346 |
341 |
$12K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
224 |
200 |
$5K |
| D0274 |
Bitewings - four radiographic images |
41 |
40 |
$879.60 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$539.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
15 |
$308.00 |