BANGOR FAMILY DENTISTRY
NPI: 1457360562
· BANGOR, ME 04401
· General Practice Dentistry
· NPI assigned 08/07/2006
Provider Details
| Authorized Official | CARREIRA, MARK (OWNER) |
| NPI Enumeration Date | 08/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
39 |
$710.00 |
| 2022 |
50 |
$974.60 |
| 2023 |
29 |
$670.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
67 |
65 |
$2K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$560.00 |
| D1330 |
|
24 |
24 |
$234.00 |