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THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC
THE FRIENDS OF CRESTON CHILDREN'S DENTAL CLINIC
NPI: 1568785848
· PORTLAND, OR 97206
· Voluntary or Charitable Agency
· NPI assigned 03/01/2010
Provider Details
| Authorized Official | MATTSEN, LORA (SECRETARY/TREASURER) |
| NPI Enumeration Date | 03/01/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
267 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
102 |
69 |
$574.23 |
| D1120 |
Prophylaxis - child |
41 |
28 |
$430.18 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
12 |
$262.48 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
14 |
$156.00 |
| D0272 |
Bitewings - two radiographic images |
20 |
14 |
$70.40 |
| D1330 |
|
67 |
47 |
$0.00 |