FM DENTAL
NPI: 1669648747
· MAPLE GROVE, MN 55369
· Dental Clinic/Center
· NPI assigned 05/07/2008
Provider Details
| Authorized Official | FRANCIS, RYAN (DENTIST/BUSINESS CO-OWNER) |
| NPI Enumeration Date | 05/07/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
55 |
$1K |
| 2021 |
68 |
$1K |
| 2023 |
13 |
$458.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
60 |
60 |
$1K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$818.16 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$316.81 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$215.76 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$119.08 |