WEST RIVER FAMILY DENTAL
NPI: 1568794295
· TOWNSHEND, VT 05353
· General Practice Dentistry
· NPI assigned 02/05/2010
Provider Details
| Authorized Official | REDISKE, JARED (DENTIST) |
| NPI Enumeration Date | 02/05/2010 |
Related Entities
Other providers sharing the same authorized official: REDISKE, JARED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
970 |
$26K |
| 2019 |
63 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
260 |
243 |
$8K |
| D1110 |
Prophylaxis - adult |
161 |
154 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
279 |
266 |
$6K |
| D1206 |
Topical application of fluoride varnish |
177 |
166 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
108 |
102 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
32 |
30 |
$1K |
| D0274 |
Bitewings - four radiographic images |
16 |
15 |
$450.00 |