BREWER FAMILY DENTAL CARE
NPI: 1447846464
· PARAGOULD, AR 72450
· Dentist
· NPI assigned 12/14/2020
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | BREWER, ASHLEY (DENTIST/OWNER) |
| NPI Enumeration Date | 12/14/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
259 |
$7K |
| 2020 |
127 |
$3K |
| 2021 |
908 |
$23K |
| 2022 |
1,349 |
$34K |
| 2023 |
1,366 |
$36K |
| 2024 |
969 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
969 |
950 |
$41K |
| D0120 |
Periodic oral evaluation - established patient |
1,417 |
1,389 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,170 |
1,152 |
$20K |
| D0272 |
Bitewings - two radiographic images |
785 |
772 |
$16K |
| D0210 |
Intraoral - complete series of radiographic images |
143 |
139 |
$10K |
| D0220 |
Intraoral - periapical first radiographic image |
289 |
282 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
151 |
142 |
$3K |
| D1120 |
Prophylaxis - child |
54 |
53 |
$2K |