RIVER DENTAL FARMINGTON, PLLC
NPI: 1447792759
· FARMINGTON, AR 72730
· General Practice Dentistry
· NPI assigned 11/17/2016
Provider Details
| Authorized Official | DEMMY, ANNE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 11/17/2016 |
Related Entities
Other providers sharing the same authorized official: DEMMY, ANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
68 |
$2K |
| 2022 |
300 |
$10K |
| 2023 |
715 |
$18K |
| 2024 |
353 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
514 |
480 |
$12K |
| D1110 |
Prophylaxis - adult |
253 |
229 |
$10K |
| D0210 |
Intraoral - complete series of radiographic images |
147 |
138 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
236 |
204 |
$2K |
| D1120 |
Prophylaxis - child |
48 |
37 |
$1K |
| D1206 |
Topical application of fluoride varnish |
70 |
58 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
131 |
95 |
$913.18 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$376.20 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$62.70 |
| D0350 |
|
12 |
12 |
$0.00 |