PLANTATION FAMILY DENTALCARE
NPI: 1538603303
· CHARLESTON, SC 29407
· General Practice Dentistry
· NPI assigned 12/13/2016
Provider Details
| Authorized Official | RADABAUGH, ERIC (DIRECTOR) |
| NPI Enumeration Date | 12/13/2016 |
Related Entities
Other providers sharing the same authorized official: RADABAUGH, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
52 |
$2K |
| 2024 |
164 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
56 |
56 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
31 |
$1K |
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
58 |
56 |
$740.57 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$466.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
16 |
$162.89 |