SIMON FAMILY DENTISTRY
NPI: 1407473481
· ALMA, AR 72921
· Dental Clinic/Center
· NPI assigned 06/25/2020
Provider Details
| Authorized Official | SIMON, JEREMY (DENTIST) |
| NPI Enumeration Date | 06/25/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
96 |
$2K |
| 2022 |
162 |
$4K |
| 2023 |
163 |
$3K |
| 2024 |
68 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
281 |
280 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
172 |
172 |
$3K |
| D1120 |
Prophylaxis - child |
24 |
24 |
$856.40 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$561.39 |