FAMILY DENTISTRY OF STAMFORD PC
NPI: 1366872137
· STAMFORD, CT 06902
· Dentist
· NPI assigned 11/15/2013
Provider Details
| Authorized Official | AGABABAEV, MARK (PRESIDENT) |
| NPI Enumeration Date | 11/15/2013 |
Related Entities
Other providers sharing the same authorized official: AGABABAEV, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
931 |
$14K |
| 2019 |
331 |
$5K |
| 2020 |
241 |
$3K |
| 2021 |
148 |
$3K |
| 2022 |
166 |
$3K |
| 2023 |
247 |
$6K |
| 2024 |
302 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
305 |
294 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
381 |
307 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
471 |
455 |
$8K |
| D0230 |
Intraoral - periapical each additional radiographic image |
654 |
182 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
306 |
288 |
$3K |
| D0274 |
Bitewings - four radiographic images |
60 |
59 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
74 |
68 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
25 |
$863.20 |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$631.62 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$540.96 |
| D0330 |
Panoramic radiographic image |
31 |
26 |
$516.78 |