WILLMAR FAMILY DENTISTRY, PA
NPI: 1376615450
· WILLMAR, MN 56201
· General Practice Dentistry
· NPI assigned 11/14/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$0.00 |
| 2019 |
42 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$483.12 |
| D0120 |
Periodic oral evaluation - established patient |
40 |
39 |
$368.15 |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$275.94 |