ELDORADO FAMILY DENTISTRY & ORTHODONTICS PLLC
NPI: 1417247560
· LITTLE ELM, TX 75068
· General Practice Dentistry
· NPI assigned 04/11/2011
Provider Details
| Authorized Official | CLARK, EMILY (DIRECTOR) |
| NPI Enumeration Date | 04/11/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
39 |
$501.25 |
| 2021 |
1,029 |
$15K |
| 2022 |
908 |
$14K |
| 2023 |
637 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
458 |
450 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
502 |
494 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
397 |
383 |
$4K |
| D1120 |
Prophylaxis - child |
117 |
116 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
372 |
359 |
$4K |
| D0274 |
Bitewings - four radiographic images |
115 |
110 |
$3K |
| D1110 |
Prophylaxis - adult |
57 |
54 |
$3K |
| D0272 |
Bitewings - two radiographic images |
19 |
19 |
$420.84 |
| D0601 |
|
576 |
561 |
$0.00 |