FAMILY DENTAL CENTER
NPI: 1568898856
· NEW PORT RICHEY, FL 34653
· Dentist
· NPI assigned 09/19/2013
$495.66
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
72 |
$495.66 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$462.96 |
| D1208 |
Topical application of fluoride, excluding varnish |
30 |
28 |
$32.70 |
| D1330 |
|
30 |
28 |
$0.00 |