NORTH BAY FAMILY DENTAL
NPI: 1457748121
· NORTH EAST, MD 21901
· General Practice Dentistry
· NPI assigned 04/21/2015
Provider Details
| Authorized Official | GATES, MINDA (RECEPTION) |
| NPI Enumeration Date | 04/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
302 |
$9K |
| 2020 |
496 |
$15K |
| 2021 |
699 |
$22K |
| 2022 |
232 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
697 |
689 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
513 |
509 |
$15K |
| D1120 |
Prophylaxis - child |
323 |
315 |
$13K |
| D1110 |
Prophylaxis - adult |
78 |
77 |
$4K |
| D0274 |
Bitewings - four radiographic images |
46 |
46 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
15 |
$772.50 |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$630.00 |
| D0272 |
Bitewings - two radiographic images |
41 |
41 |
$615.00 |