FAMILY DENTAL HEALTH CARE
NPI: 1285179549
· ALBUQUERQUE, NM 87111
· Dentist
· NPI assigned 12/22/2016
Provider Details
| Authorized Official | XAYAVONG, JENNY (OFFICE MANAGER) |
| NPI Enumeration Date | 12/22/2016 |
Related Entities
Other providers sharing the same authorized official: XAYAVONG, JENNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$2K |
| 2019 |
88 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
85 |
85 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$821.44 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$652.92 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$480.43 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$131.73 |