FOREST FAMILY DENTISTRY
NPI: 1245347806
· MONTPELIER, VT 05602
· General Practice Dentistry
· NPI assigned 08/23/2006
Provider Details
| Authorized Official | FOREST, LAUNE (OWNER) |
| NPI Enumeration Date | 08/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
655 |
$19K |
| 2019 |
278 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
350 |
331 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
448 |
422 |
$10K |
| D1206 |
Topical application of fluoride varnish |
80 |
74 |
$1K |
| D0272 |
Bitewings - two radiographic images |
43 |
39 |
$888.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$408.00 |