FDG MOBILE
NPI: 1568073096
· GREENWOOD, IN 46143
· Dental Clinic/Center
· NPI assigned 08/10/2020
Provider Details
Related Entities
Other providers sharing the same authorized official: FIORENZA, GARRETT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
610 |
$7K |
| 2022 |
273 |
$6K |
| 2023 |
831 |
$18K |
| 2024 |
828 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
454 |
380 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
581 |
492 |
$10K |
| D4346 |
|
58 |
57 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
920 |
346 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
412 |
335 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
61 |
60 |
$3K |
| D0274 |
Bitewings - four radiographic images |
56 |
56 |
$2K |