PROUD TO SERVE FAMILY DENTISTRY
NPI: 1487154829
· NORMAN, OK 73069
· Dental Clinic/Center
· NPI assigned 02/12/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
52 |
$1K |
| 2020 |
72 |
$2K |
| 2021 |
227 |
$5K |
| 2022 |
262 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
258 |
258 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
208 |
208 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
29 |
14 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$773.00 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
56 |
$770.45 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$581.24 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$176.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$83.82 |