BOYLE FAMILY DENTAL
NPI: 1659748903
· IDAHO FALLS, ID 83404
· Dental Clinic/Center
· NPI assigned 08/21/2015
Provider Details
| Authorized Official | BOYLE, STEVEN (OWNER) |
| NPI Enumeration Date | 08/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
79 |
$114.24 |
| 2019 |
24 |
$67.85 |
| 2020 |
200 |
$5K |
| 2021 |
304 |
$10K |
| 2022 |
356 |
$12K |
| 2023 |
253 |
$9K |
| 2024 |
232 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
478 |
477 |
$38K |
| D0140 |
Limited oral evaluation - problem focused |
212 |
212 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
364 |
363 |
$166.77 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$165.98 |
| D0274 |
Bitewings - four radiographic images |
76 |
76 |
$138.58 |
| D1208 |
Topical application of fluoride, excluding varnish |
253 |
252 |
$22.77 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$0.00 |
| D1999 |
|
14 |
14 |
$0.00 |