FRAMINGHAM FAMILY DENTAL LLC
NPI: 1538513452
· FRAMINGHAM, MA 01701
· Dental Clinic/Center
· NPI assigned 04/17/2016
Provider Details
| Authorized Official | WEHBE, YASER (MANAGER) |
| NPI Enumeration Date | 04/17/2016 |
Related Entities
Other providers sharing the same authorized official: WEHBE, YASER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
20 |
$0.00 |
| 2023 |
259 |
$13K |
| 2024 |
258 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
202 |
201 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
69 |
69 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
107 |
103 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
15 |
15 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
49 |
49 |
$876.00 |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$756.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$624.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
12 |
$193.00 |
| D1999 |
|
20 |
15 |
$0.00 |