FULLER FAMILY DENTAL, PLC
NPI: 1477751576
· CORNING, IA 50841
· Dentist
· NPI assigned 07/10/2007
$120K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
636 |
$13K |
| 2019 |
623 |
$14K |
| 2020 |
415 |
$10K |
| 2021 |
716 |
$19K |
| 2022 |
783 |
$20K |
| 2023 |
719 |
$17K |
| 2024 |
1,058 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,009 |
986 |
$37K |
| D0120 |
Periodic oral evaluation - established patient |
1,783 |
1,717 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,277 |
1,223 |
$23K |
| D1120 |
Prophylaxis - child |
595 |
570 |
$18K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
178 |
163 |
$5K |
| D0274 |
Bitewings - four radiographic images |
96 |
96 |
$3K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$281.46 |