FRANDSEN FAMILY DENTAL GROUP PLLC
NPI: 1457649675
· GRANTSVILLE, UT 84029
· General Practice Dentistry
· NPI assigned 07/21/2011
$117K
Total Medicaid Paid
Provider Details
| Authorized Official | CHRISTLEY, BECKY (CREDENTIALLING COORDINATOR) |
| Parent Organization | FRANDSEN FAMILY DENTAL GROUP PLLC |
| NPI Enumeration Date | 07/21/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,209 |
$23K |
| 2020 |
1,269 |
$46K |
| 2021 |
1,234 |
$36K |
| 2022 |
320 |
$8K |
| 2023 |
127 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
370 |
369 |
$53K |
| D0140 |
Limited oral evaluation - problem focused |
226 |
196 |
$28K |
| D0220 |
Intraoral - periapical first radiographic image |
1,091 |
999 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
21 |
20 |
$5K |
| D1999 |
|
50 |
36 |
$3K |
| D1206 |
Topical application of fluoride varnish |
401 |
396 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,293 |
680 |
$1K |
| D1120 |
Prophylaxis - child |
242 |
241 |
$1K |
| D0274 |
Bitewings - four radiographic images |
395 |
390 |
$732.55 |
| D0330 |
Panoramic radiographic image |
29 |
27 |
$492.85 |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$59.60 |