SKY FAMILY DENTAL, LLC
NPI: 1255991196
· EUPORA, MS 39744
· Dental Clinic/Center
· NPI assigned 06/13/2019
Provider Details
| Authorized Official | SMITH, DUSTIN (OWNER) |
| NPI Enumeration Date | 06/13/2019 |
Related Entities
Other providers sharing the same authorized official: SMITH, DUSTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
271 |
$6K |
| 2020 |
200 |
$4K |
| 2021 |
115 |
$3K |
| 2022 |
72 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
204 |
155 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
161 |
101 |
$4K |
| D0330 |
Panoramic radiographic image |
81 |
54 |
$2K |
| D1206 |
Topical application of fluoride varnish |
122 |
82 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
55 |
$2K |