FRONT RANGE FAMILY SMILES, PLLC
NPI: 1316581739
· PARKER, CO 80134
· Dental Clinic/Center
· NPI assigned 10/29/2019
Provider Details
| Authorized Official | SCHMIDT, AMBER (OWNER) |
| NPI Enumeration Date | 10/29/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
469 |
$16K |
| 2021 |
728 |
$25K |
| 2022 |
31 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
392 |
389 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
394 |
394 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
108 |
108 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
44 |
44 |
$4K |
| D0274 |
Bitewings - four radiographic images |
89 |
88 |
$3K |
| D0330 |
Panoramic radiographic image |
42 |
42 |
$2K |
| D1206 |
Topical application of fluoride varnish |
105 |
105 |
$2K |
| D1120 |
Prophylaxis - child |
27 |
27 |
$822.87 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$329.52 |