DAYDREAM FAMILY DENTISTRY PLLC
NPI: 1548644024
· WESLACO, TX 78596
· Customized Equipment (DME)
· NPI assigned 07/15/2015
Provider Details
| Authorized Official | RINEHART, GINA (DENTIST) |
| NPI Enumeration Date | 07/15/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
284 |
$3K |
| 2022 |
92 |
$0.00 |
| 2023 |
51 |
$0.00 |
| 2024 |
41 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$966.56 |
| D1110 |
Prophylaxis - adult |
15 |
14 |
$788.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
37 |
35 |
$527.73 |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
36 |
$440.14 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$406.33 |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
33 |
$364.36 |
| D0603 |
|
298 |
287 |
$0.00 |