FRISCO DENTAL
NPI: 1255742839
· FRISCO, CO 80443
· Dentist
· NPI assigned 05/16/2014
Provider Details
| Authorized Official | SMITH, MOLLY (DENTIST/OWNER) |
| NPI Enumeration Date | 05/16/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
198 |
$6K |
| 2019 |
72 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
132 |
132 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
102 |
101 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$884.44 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$333.39 |