FIRCREST FAMILY DENTAL
NPI: 1376010652
· FIRCREST, WA 98466
· General Practice Dentistry
· NPI assigned 10/25/2018
Provider Details
| Authorized Official | LEE, NARI (OFFICE MANAGER) |
| NPI Enumeration Date | 10/25/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
97 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
40 |
38 |
$1K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$326.37 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
13 |
$165.74 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$84.68 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
12 |
$28.02 |