RAELENE FULFORD DDS PLLC
NPI: 1689146920
· LAFAYETTE, CO 80026
· Dental Clinic/Center
· NPI assigned 12/27/2018
Provider Details
| Authorized Official | FULFORD, RAELENE (OWNER/MANAGER) |
| NPI Enumeration Date | 12/27/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
366 |
$10K |
| 2020 |
721 |
$18K |
| 2021 |
906 |
$22K |
| 2022 |
751 |
$19K |
| 2023 |
642 |
$16K |
| 2024 |
292 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,209 |
1,202 |
$40K |
| D0120 |
Periodic oral evaluation - established patient |
1,111 |
1,108 |
$27K |
| D1206 |
Topical application of fluoride varnish |
996 |
988 |
$18K |
| D0272 |
Bitewings - two radiographic images |
245 |
242 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
91 |
85 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$313.90 |