HARVEST DENTAL LLC
NPI: 1326660861
· EPHRATA, PA 17522
· General Practice Dentistry
· NPI assigned 05/07/2020
Provider Details
| Authorized Official | SIEGRIST, EMILY (OFFICE MANAGER) |
| Parent Organization | HARVEST DENTAL LLC |
| NPI Enumeration Date | 05/07/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
94 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
40 |
40 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$552.00 |