NORTHEAST FAMILY DENTAL LLC
NPI: 1578938122
· LINCOLN, NE 68505
· General Practice Dentistry
· NPI assigned 12/08/2015
Provider Details
| Authorized Official | GALL, BONNIE (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 12/08/2015 |
Related Entities
Other providers sharing the same authorized official: GALL, BONNIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
494 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
147 |
147 |
$3K |
| D1120 |
Prophylaxis - child |
71 |
71 |
$2K |
| D1110 |
Prophylaxis - adult |
51 |
51 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
67 |
67 |
$1K |
| D0274 |
Bitewings - four radiographic images |
38 |
38 |
$684.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$638.00 |
| D0220 |
Intraoral - periapical first radiographic image |
45 |
45 |
$252.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
46 |
39 |
$215.00 |