EPHRAIM FAMILY DENTAL CLINIC, INC.
NPI: 1598881906
· EPHRAIM, UT 84627
· Dental Clinic/Center
· NPI assigned 03/21/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
189 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
94 |
78 |
$7K |
| D0272 |
Bitewings - two radiographic images |
23 |
19 |
$0.00 |
| D1120 |
Prophylaxis - child |
57 |
46 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
12 |
$0.00 |