NORTH SHORE FAMILY DENTAL
NPI: 1508074485
· DULUTH, MN 55812
· Dentist
· NPI assigned 05/21/2007
Provider Details
| Authorized Official | HAWORTH, CALVIN (DENTIST) |
| NPI Enumeration Date | 05/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$0.00 |
| 2019 |
80 |
$2K |
| 2020 |
93 |
$3K |
| 2021 |
130 |
$4K |
| 2022 |
271 |
$10K |
| 2023 |
372 |
$14K |
| 2024 |
105 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
502 |
489 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
409 |
390 |
$9K |
| D0274 |
Bitewings - four radiographic images |
152 |
144 |
$5K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$363.55 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
24 |
$355.83 |