EASTSIDE FAMILY DENTAL CARE, LLC
NPI: 1639432990
· ANDERSON, SC 29621
· Dentist
· NPI assigned 06/21/2012
Provider Details
| Authorized Official | HARDEN, JOHN (DENTIST) |
| NPI Enumeration Date | 06/21/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
295 |
$10K |
| 2019 |
129 |
$4K |
| 2020 |
201 |
$8K |
| 2021 |
104 |
$3K |
| 2022 |
101 |
$4K |
| 2023 |
24 |
$851.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
360 |
360 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
122 |
122 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
198 |
198 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
43 |
25 |
$3K |
| D0274 |
Bitewings - four radiographic images |
92 |
92 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$473.94 |