BOISE WEST DENTAL HEALTH LLP
NPI: 1669480711
· BOISE, ID 83709
· General Practice Dentistry
· NPI assigned 08/04/2006
Provider Details
| Authorized Official | LOWRY, FRED (DENTIST) |
| NPI Enumeration Date | 08/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
572 |
$3K |
| 2019 |
279 |
$426.81 |
| 2020 |
398 |
$3K |
| 2021 |
836 |
$14K |
| 2022 |
603 |
$9K |
| 2023 |
278 |
$4K |
| 2024 |
75 |
$20.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
391 |
391 |
$29K |
| D0120 |
Periodic oral evaluation - established patient |
1,373 |
1,370 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$823.69 |
| D0274 |
Bitewings - four radiographic images |
39 |
39 |
$102.45 |
| D0220 |
Intraoral - periapical first radiographic image |
435 |
422 |
$35.85 |
| D1206 |
Topical application of fluoride varnish |
145 |
145 |
$13.55 |
| D1208 |
Topical application of fluoride, excluding varnish |
202 |
202 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
444 |
229 |
$-44.56 |