BORENGASSER FAMILY DENTAL, PLLC
NPI: 1346756103
· FORT SMITH, AR 72903
· Dental Clinic/Center
· NPI assigned 12/15/2017
Provider Details
Related Entities
Other providers sharing the same authorized official: BORENGASSER, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
151 |
$5K |
| 2022 |
73 |
$2K |
| 2023 |
31 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
107 |
106 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
135 |
134 |
$3K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$239.40 |