CHRIS DIAZ-FREED DENTAL PROF LLC
NPI: 1619412384
· CANTON, SD 57013
· Dentist
· NPI assigned 01/04/2017
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
361 |
$11K |
| 2019 |
364 |
$11K |
| 2020 |
157 |
$4K |
| 2021 |
179 |
$5K |
| 2022 |
154 |
$5K |
| 2023 |
15 |
$32.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
602 |
602 |
$16K |
| D1120 |
Prophylaxis - child |
271 |
271 |
$10K |
| D1206 |
Topical application of fluoride varnish |
231 |
231 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
102 |
102 |
$2K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$633.36 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$239.58 |