ROBERTS FAMILY DENTAL CARE LLC
NPI: 1265961007
· LA CYGNE, KS 66040
· Dentist
· NPI assigned 06/06/2017
Provider Details
| Authorized Official | ROBERTS, ANNIE (MEMBER) |
| NPI Enumeration Date | 06/06/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
63 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
31 |
27 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
32 |
27 |
$563.64 |