FAITH FAMILY DENTAL
NPI: 1578085916
· SPRINGDALE, AR 72764
· Dentist
· NPI assigned 07/07/2017
Provider Details
| Authorized Official | AGBABLI, AMI (OWNER) |
| NPI Enumeration Date | 07/07/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$399.00 |
| 2021 |
156 |
$4K |
| 2022 |
175 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
202 |
200 |
$5K |
| D1110 |
Prophylaxis - adult |
52 |
52 |
$2K |
| D1206 |
Topical application of fluoride varnish |
79 |
77 |
$2K |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$321.10 |