GOTTSPONER FAMILY DENTAL, LLC
NPI: 1477219228
· MORRILTON, AR 72110
· Dental Clinic/Center
· NPI assigned 11/15/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
40 |
$944.82 |
| 2023 |
196 |
$5K |
| 2024 |
132 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
185 |
176 |
$5K |
| D1206 |
Topical application of fluoride varnish |
109 |
102 |
$2K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$2K |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$568.10 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$423.20 |