ADA FAMILY DENTISTRY INC.
NPI: 1699927293
· ADA, OK 74820
· General Practice Dentistry
· NPI assigned 10/15/2008
Provider Details
| Authorized Official | BRATTON, BRYAN (PRESIDENT) |
| NPI Enumeration Date | 10/15/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,515 |
$31K |
| 2019 |
1,178 |
$27K |
| 2020 |
802 |
$19K |
| 2021 |
245 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,250 |
1,250 |
$25K |
| D1120 |
Prophylaxis - child |
793 |
793 |
$23K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,170 |
1,170 |
$17K |
| D1110 |
Prophylaxis - adult |
362 |
362 |
$15K |
| D0272 |
Bitewings - two radiographic images |
113 |
113 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
14 |
12 |
$961.77 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$745.10 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$169.08 |