PARKS FAMILY DENTAL
NPI: 1265704183
· TISHOMINGO, OK 73460
· Preferred Provider Organization
· NPI assigned 02/08/2012
Provider Details
| Authorized Official | PARKS, TARA (OFFICE MANAGER) |
| NPI Enumeration Date | 02/08/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
320 |
$6K |
| 2019 |
379 |
$8K |
| 2020 |
677 |
$15K |
| 2021 |
727 |
$16K |
| 2022 |
800 |
$18K |
| 2023 |
457 |
$10K |
| 2024 |
32 |
$554.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
697 |
697 |
$21K |
| D1206 |
Topical application of fluoride varnish |
1,268 |
1,268 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
741 |
741 |
$15K |
| D0272 |
Bitewings - two radiographic images |
473 |
473 |
$8K |
| D0330 |
Panoramic radiographic image |
69 |
69 |
$3K |
| D1110 |
Prophylaxis - adult |
64 |
64 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$2K |
| D1320 |
|
12 |
12 |
$402.48 |