HOMETOWN FAMILY DENTAL
NPI: 1649987470
· HOBART, IN 46342
· Dental Clinic/Center
· NPI assigned 11/01/2022
Provider Details
| Authorized Official | JACKSON, SARA (OWNER) |
| NPI Enumeration Date | 11/01/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
291 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
76 |
74 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
16 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
67 |
65 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
32 |
29 |
$1K |
| D1120 |
Prophylaxis - child |
21 |
21 |
$834.12 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$419.68 |