FAMILY DENTAL HEALTH OF MURRAY LANDING LLC
NPI: 1386382695
· COLUMBIA, SC 29212
· General Practice Dentistry
· NPI assigned 05/25/2022
Provider Details
| Authorized Official | ILLSLEY, BETH (DIRECTOR OF INSURANCE) |
| Parent Organization | FDH HOLDINGS LLC |
| NPI Enumeration Date | 05/25/2022 |
Related Entities
Other providers sharing the same authorized official: ILLSLEY, BETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
186 |
$5K |
| 2023 |
240 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
95 |
95 |
$5K |
| D0274 |
Bitewings - four radiographic images |
83 |
83 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
51 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
78 |
78 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$655.99 |
| D1206 |
Topical application of fluoride varnish |
40 |
40 |
$654.60 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$576.39 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$139.06 |