COMFORT CARE DENTAL OF IDAHO FALLS, PLLC
NPI: 1679704647
· IDAHO FALLS, ID 83404
· Dental Clinic/Center
· NPI assigned 08/07/2009
Provider Details
| Authorized Official | HARPER, PHILIP (OWNER/DENTIST) |
| NPI Enumeration Date | 08/07/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
128 |
$700.53 |
| 2021 |
25 |
$571.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$683.12 |
| D1120 |
Prophylaxis - child |
24 |
24 |
$571.94 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$17.41 |
| D0230 |
Intraoral - periapical each additional radiographic image |
58 |
26 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$0.00 |