CALAPOOIA FAMILY DENTAL, PC
NPI: 1548645930
· ALBANY, OR 97321
· General Practice Dentistry
· NPI assigned 07/27/2015
$256K
Total Medicaid Paid
Provider Details
| Authorized Official | SUMMERS, BRIAN (PRESIDENT) |
| NPI Enumeration Date | 07/27/2015 |
Related Entities
Other providers sharing the same authorized official: SUMMERS, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
249 |
$11K |
| 2019 |
605 |
$68K |
| 2020 |
388 |
$32K |
| 2021 |
416 |
$38K |
| 2022 |
80 |
$6K |
| 2023 |
416 |
$54K |
| 2024 |
436 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9420 |
|
307 |
272 |
$106K |
| D1110 |
Prophylaxis - adult |
760 |
690 |
$57K |
| D9310 |
|
257 |
234 |
$38K |
| D1206 |
Topical application of fluoride varnish |
677 |
611 |
$27K |
| D0274 |
Bitewings - four radiographic images |
142 |
122 |
$8K |
| D9992 |
|
76 |
73 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
97 |
88 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
65 |
61 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
92 |
78 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
104 |
25 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |