COMPLETE FAMILY DENTAL LLC
NPI: 1306353743
· CHESTERTON, IN 46304
· Dental Clinic/Center
· NPI assigned 01/08/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
838 |
$2K |
| 2019 |
484 |
$9K |
| 2020 |
167 |
$1K |
| 2021 |
199 |
$5K |
| 2022 |
44 |
$1K |
| 2023 |
68 |
$3K |
| 2024 |
132 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
578 |
355 |
$11K |
| D0210 |
Intraoral - complete series of radiographic images |
412 |
211 |
$7K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
71 |
37 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
215 |
136 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
288 |
176 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
348 |
154 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
20 |
12 |
$48.20 |