FAMILY DENTAL CARE
NPI: 1598738643
· GRAND ISLAND, NE 68803
· Dentist
· NPI assigned 02/09/2006
Provider Details
| Authorized Official | BOWDEN, LESLEY (SEC TREAS) |
| NPI Enumeration Date | 02/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$1K |
| 2019 |
12 |
$265.32 |
| 2020 |
140 |
$3K |
| 2021 |
84 |
$2K |
| 2022 |
41 |
$1K |
| 2023 |
98 |
$3K |
| 2024 |
74 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
368 |
367 |
$8K |
| D1110 |
Prophylaxis - adult |
83 |
83 |
$3K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$652.15 |
| D1999 |
|
35 |
35 |
$350.00 |