KIMBALL FAMILY DENTISTRY P.C.
NPI: 1245440528
· KIMBALL, NE 69145
· General Practice Dentistry
· NPI assigned 05/23/2007
Provider Details
| Authorized Official | FUSS, ADRIAN (OWNER DENTIST) |
| NPI Enumeration Date | 05/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
46 |
$1K |
| 2020 |
602 |
$13K |
| 2021 |
1,275 |
$24K |
| 2022 |
1,076 |
$22K |
| 2023 |
567 |
$13K |
| 2024 |
145 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
929 |
924 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
866 |
865 |
$21K |
| D1120 |
Prophylaxis - child |
493 |
492 |
$14K |
| D1999 |
|
1,145 |
970 |
$11K |
| D1351 |
Sealant - per tooth |
140 |
24 |
$4K |
| D1110 |
Prophylaxis - adult |
67 |
67 |
$2K |
| D0272 |
Bitewings - two radiographic images |
43 |
43 |
$550.98 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$325.52 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$282.38 |