EL DORADO FAMILY DENTISTRY P.A.
NPI: 1285828608
· EL DORADO, KS 67042
· Dental Clinic/Center
· NPI assigned 08/29/2007
Provider Details
| Authorized Official | LATIMER, LOUIS (OWNER) |
| NPI Enumeration Date | 08/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$473.00 |
| 2019 |
61 |
$501.08 |
| 2020 |
85 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
87 |
78 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
69 |
51 |
$919.80 |
| D1120 |
Prophylaxis - child |
15 |
12 |
$190.80 |