GARDENDALE FAMILY DENTISTRY LLC
NPI: 1437666120
· FULTONDALE, AL 35068
· General Practice Dentistry
· NPI assigned 01/04/2018
Provider Details
| Authorized Official | DODSON, LASHEA (INSURANCE DEPARTMENT MANAGER) |
| NPI Enumeration Date | 01/04/2018 |
Related Entities
Other providers sharing the same authorized official: DODSON, LASHEA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
151 |
$2K |
| 2020 |
107 |
$2K |
| 2021 |
157 |
$3K |
| 2022 |
308 |
$5K |
| 2023 |
80 |
$1K |
| 2024 |
17 |
$103.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
617 |
448 |
$10K |
| D1110 |
Prophylaxis - adult |
41 |
38 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
52 |
$851.40 |
| D0220 |
Intraoral - periapical first radiographic image |
52 |
40 |
$378.95 |
| D0274 |
Bitewings - four radiographic images |
18 |
13 |
$264.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$180.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
12 |
$100.00 |