FRANKFORD DENTAL GROUP
NPI: 1518569003
· LUBBOCK, TX 79424
· General Practice Dentistry
· NPI assigned 11/10/2020
Provider Details
| Authorized Official | MONTOYA, STEPHEN (SOLE MEMBER) |
| NPI Enumeration Date | 11/10/2020 |
Related Entities
Other providers sharing the same authorized official: MONTOYA, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
101 |
$411.60 |
| 2023 |
621 |
$9K |
| 2024 |
688 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
103 |
101 |
$3K |
| D1206 |
Topical application of fluoride varnish |
242 |
233 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
109 |
103 |
$3K |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$2K |
| D0330 |
Panoramic radiographic image |
92 |
91 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
51 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
141 |
57 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
126 |
119 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$847.68 |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$657.59 |
| D0603 |
|
467 |
452 |
$0.00 |