BLUE DIAMOND FAMILY DENTAL SC
NPI: 1245433580
· BLOOMER, WI 54724
· Dentist
· NPI assigned 06/06/2007
Provider Details
| Authorized Official | PARR, CONNIE (BUSINESS MANAGER) |
| NPI Enumeration Date | 06/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
566 |
$7K |
| 2019 |
311 |
$4K |
| 2020 |
363 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
683 |
647 |
$9K |
| D1206 |
Topical application of fluoride varnish |
324 |
303 |
$3K |
| D1110 |
Prophylaxis - adult |
138 |
127 |
$3K |
| D1120 |
Prophylaxis - child |
79 |
74 |
$2K |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$204.24 |