RILEY FARM DENTAL & BRACES, PLLC
NPI: 1598324220
· FORT SMITH, AR 72916
· Dental Clinic/Center
· NPI assigned 06/06/2019
Provider Details
| Authorized Official | SPARKMAN, PAOLA (BOOKKEEPER) |
| NPI Enumeration Date | 06/06/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
178 |
$5K |
| 2022 |
359 |
$9K |
| 2023 |
383 |
$10K |
| 2024 |
345 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
312 |
297 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
534 |
503 |
$12K |
| D1206 |
Topical application of fluoride varnish |
298 |
286 |
$5K |
| D1120 |
Prophylaxis - child |
30 |
29 |
$856.40 |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
60 |
$776.59 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$410.40 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$247.00 |