FOUNTAINVIEW DENTAL HARRISONVILLE PLLC
NPI: 1669149159
· HARRISONVILLE, MO 64701
· General Practice Dentistry
· NPI assigned 08/24/2021
Provider Details
| Authorized Official | DEMMY, ANNE (CREDENTIALING MANAGER) |
| NPI Enumeration Date | 08/24/2021 |
Related Entities
Other providers sharing the same authorized official: DEMMY, ANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
695 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
109 |
109 |
$13K |
| D1206 |
Topical application of fluoride varnish |
206 |
204 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
119 |
117 |
$2K |
| D0272 |
Bitewings - two radiographic images |
48 |
48 |
$554.64 |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
38 |
$366.12 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$334.26 |
| D1351 |
Sealant - per tooth |
86 |
18 |
$241.76 |
| D0191 |
|
20 |
20 |
$0.00 |
| D0603 |
|
50 |
50 |
$0.00 |