SALINE FAMILY DENTAL
NPI: 1396472452
· BENTON, AR 72015
· Dentist
· NPI assigned 08/08/2022
Provider Details
Related Entities
Other providers sharing the same authorized official: KINARD, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
55 |
$1K |
| 2024 |
195 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
68 |
68 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
80 |
76 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
15 |
$950.95 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$615.60 |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
30 |
$451.25 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$239.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
15 |
$209.30 |