RLI DENTAL, LLC
NPI: 1689837940
· FISHERS, IN 46038
· General Practice Dentistry
· NPI assigned 07/08/2008
Provider Details
| Authorized Official | NEMSER, RACHEL (BUSINESS MANAGER) |
| NPI Enumeration Date | 07/08/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
464 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
196 |
179 |
$525.25 |
| D0210 |
Intraoral - complete series of radiographic images |
75 |
65 |
$289.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
90 |
77 |
$284.00 |
| D0120 |
Periodic oral evaluation - established patient |
78 |
76 |
$225.80 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$70.34 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$0.00 |