HAIRSTON FAMILY DENTISTRY
NPI: 1407397516
· RAVENSWOOD, WV 26164
· General Practice Dentistry
· NPI assigned 03/09/2017
Provider Details
| Authorized Official | HAIRSTON, LEAH (OWNER DENTIST) |
| NPI Enumeration Date | 03/09/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
46 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$560.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$518.00 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$360.00 |