ELDORA FAMILY DENTISTRY, LLC
NPI: 1699294181
· ELDORA, IA 50627
· Dental Clinic/Center
· NPI assigned 09/15/2017
Provider Details
| Authorized Official | SCARROW, DAN (OWNER) |
| NPI Enumeration Date | 09/15/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
107 |
$2K |
| 2019 |
91 |
$2K |
| 2020 |
12 |
$196.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
144 |
135 |
$2K |
| D1110 |
Prophylaxis - adult |
20 |
16 |
$501.48 |
| D1206 |
Topical application of fluoride varnish |
32 |
31 |
$485.24 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$200.29 |