THE FAMILY DENTAL CENTER, PLLC
NPI: 1538186366
· BLACKFOOT, ID 83221
· General Practice Dentistry
· NPI assigned 07/16/2006
Provider Details
| Authorized Official | PRUETT, KAREN (OFFICE MANAGER) |
| NPI Enumeration Date | 07/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
129 |
$2K |
| 2019 |
250 |
$3K |
| 2020 |
298 |
$2K |
| 2021 |
447 |
$5K |
| 2022 |
383 |
$5K |
| 2023 |
206 |
$3K |
| 2024 |
206 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
313 |
313 |
$23K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$2K |
| D0274 |
Bitewings - four radiographic images |
156 |
156 |
$215.37 |
| D0120 |
Periodic oral evaluation - established patient |
542 |
542 |
$81.45 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
109 |
104 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
750 |
750 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
24 |
24 |
$0.00 |