COMMON ROOTS FAMILY DENTAL, PC
NPI: 1528307584
· LEWISVILLE, TX 75067
· Dentist
· NPI assigned 02/11/2013
Provider Details
| Authorized Official | WOLFF, WHITNEY (OWNER) |
| NPI Enumeration Date | 02/11/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
96 |
$2K |
| 2022 |
12 |
$161.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
41 |
41 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
67 |
$970.20 |