CRETE FAMILY DENTAL, LLC
NPI: 1437515111
· CRETE, NE 68333
· General Practice Dentistry
· NPI assigned 01/11/2016
Provider Details
| Authorized Official | GALL, BONNIE (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 01/11/2016 |
Related Entities
Other providers sharing the same authorized official: GALL, BONNIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
760 |
$17K |
| 2019 |
554 |
$11K |
| 2020 |
411 |
$8K |
| 2021 |
545 |
$10K |
| 2022 |
230 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
745 |
707 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
728 |
728 |
$16K |
| D1120 |
Prophylaxis - child |
407 |
407 |
$11K |
| D1999 |
|
232 |
212 |
$2K |
| D1110 |
Prophylaxis - adult |
52 |
52 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
26 |
12 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
172 |
169 |
$1K |
| D0274 |
Bitewings - four radiographic images |
52 |
52 |
$992.28 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$352.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
70 |
67 |
$336.20 |