WEST POINT FAMILY DENTAL PLLC
NPI: 1467011379
· WEST POINT, MS 39773
· General Practice Dentistry
· NPI assigned 06/13/2019
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYES, ROBERT (OWNER) |
| NPI Enumeration Date | 06/13/2019 |
Related Entities
Other providers sharing the same authorized official: HAYES, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
171 |
$4K |
| 2020 |
573 |
$12K |
| 2021 |
853 |
$21K |
| 2022 |
789 |
$19K |
| 2023 |
642 |
$19K |
| 2024 |
984 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
986 |
902 |
$26K |
| D0140 |
Limited oral evaluation - problem focused |
675 |
578 |
$23K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
449 |
415 |
$16K |
| D0210 |
Intraoral - complete series of radiographic images |
135 |
132 |
$9K |
| D1206 |
Topical application of fluoride varnish |
317 |
302 |
$8K |
| D0330 |
Panoramic radiographic image |
310 |
274 |
$7K |
| D0274 |
Bitewings - four radiographic images |
265 |
248 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
300 |
275 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
156 |
144 |
$4K |
| D1351 |
Sealant - per tooth |
135 |
15 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
284 |
241 |
$3K |