FAMILY FIRST DENTAL OF PRIMGHAR PC
NPI: 1649387333
· PRIMGHAR, IA 51245
· Dentist
· NPI assigned 08/25/2006
$198K
Total Medicaid Paid
Provider Details
| Authorized Official | IRWIN, JEAN (DENTIST) |
| NPI Enumeration Date | 08/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,695 |
$25K |
| 2019 |
1,729 |
$37K |
| 2020 |
1,469 |
$28K |
| 2021 |
1,821 |
$37K |
| 2022 |
1,538 |
$34K |
| 2023 |
1,354 |
$29K |
| 2024 |
291 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
2,841 |
2,655 |
$51K |
| D1110 |
Prophylaxis - adult |
1,412 |
1,327 |
$50K |
| D1206 |
Topical application of fluoride varnish |
3,053 |
2,851 |
$47K |
| D1120 |
Prophylaxis - child |
997 |
925 |
$26K |
| D0274 |
Bitewings - four radiographic images |
682 |
632 |
$15K |
| D0272 |
Bitewings - two radiographic images |
175 |
169 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
39 |
26 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
141 |
135 |
$1K |
| D2140 |
|
18 |
13 |
$930.78 |
| D0603 |
|
461 |
411 |
$390.00 |
| D4346 |
|
12 |
12 |
$354.60 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
12 |
$312.57 |
| D0602 |
|
46 |
36 |
$40.00 |