KEVEN FREEMAN DMD PLLC
NPI: 1356879720
· CALDWELL, ID 83605
· Dental Clinic/Center
· NPI assigned 05/30/2017
Provider Details
| Authorized Official | FREEMAN, KEVEN (OWNER) |
| NPI Enumeration Date | 05/30/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
406 |
$8K |
| 2021 |
678 |
$14K |
| 2022 |
702 |
$16K |
| 2023 |
553 |
$12K |
| 2024 |
314 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
619 |
618 |
$48K |
| D1120 |
Prophylaxis - child |
92 |
92 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
44 |
44 |
$595.21 |
| D0120 |
Periodic oral evaluation - established patient |
1,054 |
1,053 |
$234.05 |
| D0274 |
Bitewings - four radiographic images |
141 |
141 |
$103.53 |
| D1208 |
Topical application of fluoride, excluding varnish |
678 |
677 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$0.00 |