FAMILY DENTISTRY OF HOMESTEAD LLC
NPI: 1467841551
· HOMESTEAD, FL 33030
· General Practice Dentistry
· NPI assigned 01/13/2015
Provider Details
| Authorized Official | DEHART, MELISSA (PRESIDENT) |
| NPI Enumeration Date | 01/13/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,405 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
193 |
193 |
$18K |
| D1351 |
Sealant - per tooth |
48 |
19 |
$215.50 |
| D0220 |
Intraoral - periapical first radiographic image |
165 |
165 |
$10.41 |
| D1120 |
Prophylaxis - child |
208 |
208 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
165 |
165 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
159 |
159 |
$0.00 |
| D1330 |
|
210 |
210 |
$0.00 |
| D9920 |
|
51 |
51 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
163 |
163 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$0.00 |