CHILDERSBURG FAMILY DENTAL
NPI: 1467171249
· CHILDERSBURG, AL 35044
· Dental Clinic/Center
· NPI assigned 08/24/2022
Provider Details
| Authorized Official | WEAVER, ROXANNE (DENTIST, OWNER) |
| NPI Enumeration Date | 08/24/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
123 |
$3K |
| 2023 |
1,075 |
$22K |
| 2024 |
460 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
480 |
442 |
$6K |
| D1120 |
Prophylaxis - child |
179 |
175 |
$5K |
| D1999 |
|
308 |
207 |
$5K |
| D0330 |
Panoramic radiographic image |
138 |
115 |
$5K |
| D1110 |
Prophylaxis - adult |
133 |
108 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
220 |
210 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
139 |
114 |
$3K |
| D0274 |
Bitewings - four radiographic images |
30 |
24 |
$540.80 |
| D0140 |
Limited oral evaluation - problem focused |
16 |
15 |
$426.30 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$283.50 |