BONDS FAMILY DENTISTRY, INC
NPI: 1649324104
· RUSSELLVILLE, AR 72801
· General Practice Dentistry
· NPI assigned 01/22/2007
$188K
Total Medicaid Paid
Provider Details
| Authorized Official | BONDS, JAMES (PRESIDENT) |
| NPI Enumeration Date | 01/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
693 |
$19K |
| 2020 |
1,313 |
$38K |
| 2021 |
1,394 |
$40K |
| 2022 |
1,335 |
$37K |
| 2023 |
1,071 |
$29K |
| 2024 |
949 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,107 |
1,099 |
$50K |
| D0120 |
Periodic oral evaluation - established patient |
1,977 |
1,960 |
$50K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,518 |
1,505 |
$29K |
| D1120 |
Prophylaxis - child |
744 |
740 |
$25K |
| D0272 |
Bitewings - two radiographic images |
1,176 |
1,167 |
$24K |
| D0210 |
Intraoral - complete series of radiographic images |
61 |
61 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
107 |
102 |
$3K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$689.70 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$543.40 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$410.40 |