FAMILY DENTAL CARE LLC
NPI: 1649442955
· MTN HOME, ID 83647
· Dentist
· NPI assigned 03/26/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$252.51 |
| 2019 |
16 |
$375.61 |
| 2020 |
26 |
$160.03 |
| 2021 |
40 |
$366.91 |
| 2022 |
50 |
$1K |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
78 |
77 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
67 |
67 |
$0.00 |
| D1999 |
|
14 |
13 |
$0.00 |