FAMILY DENTAL CARE
NPI: 1679063176
· INDIANOLA, MS 38751
· Dental Clinic/Center
· NPI assigned 05/10/2018
Provider Details
| Authorized Official | PAGE, JODI (INSURANCE BILLING) |
| NPI Enumeration Date | 05/10/2018 |
Related Entities
Other providers sharing the same authorized official: PAGE, JODI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
226 |
$5K |
| 2021 |
374 |
$9K |
| 2022 |
43 |
$822.60 |
| 2023 |
240 |
$6K |
| 2024 |
518 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
529 |
472 |
$14K |
| D1206 |
Topical application of fluoride varnish |
530 |
475 |
$12K |
| D0140 |
Limited oral evaluation - problem focused |
222 |
158 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
120 |
110 |
$4K |