SALIDA FAMILY DENTISTRY LLC
NPI: 1366512667
· SALIDA, CO 81201
· Dentist
· NPI assigned 11/08/2006
Provider Details
| Authorized Official | STRONG, LYNN (OFFICE MGR) |
| NPI Enumeration Date | 11/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
48 |
$2K |
| 2020 |
158 |
$5K |
| 2021 |
163 |
$5K |
| 2022 |
14 |
$283.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
76 |
76 |
$5K |
| D1206 |
Topical application of fluoride varnish |
138 |
137 |
$3K |
| D1120 |
Prophylaxis - child |
69 |
68 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
88 |
87 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$485.20 |