FOOTHILLS FAMILY DENTISTRY
NPI: 1679760870
· CHESNEE, SC 29368
· Dentist
· NPI assigned 10/02/2007
Provider Details
| Authorized Official | BRYANT, DAVID (DENTIST/OWNER) |
| NPI Enumeration Date | 10/02/2007 |
Related Entities
Other providers sharing the same authorized official: BRYANT, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
176 |
$9K |
| 2019 |
53 |
$1K |
| 2020 |
138 |
$4K |
| 2021 |
100 |
$3K |
| 2022 |
56 |
$2K |
| 2023 |
38 |
$815.20 |
| 2024 |
13 |
$284.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
277 |
277 |
$6K |
| D1110 |
Prophylaxis - adult |
121 |
121 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
37 |
28 |
$4K |
| D1206 |
Topical application of fluoride varnish |
88 |
88 |
$1K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
12 |
12 |
$1K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$357.63 |