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FAMILY FIRST DENTAL ASSOCIATES OF WAUSA P.C.
FAMILY FIRST DENTAL ASSOCIATES OF WAUSA P.C.
NPI: 1700052487
· LAUREL, NE 68745
· General Practice Dentistry
· NPI assigned 05/02/2008
Provider Details
| Authorized Official | STOLTENBERG, ANN (FAMILY 1ST DENTAL SUPPORT MANAGER) |
| NPI Enumeration Date | 05/02/2008 |
Related Entities
Other providers sharing the same authorized official: STOLTENBERG, ANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$984.00 |
| 2019 |
76 |
$2K |
| 2020 |
113 |
$2K |
| 2021 |
256 |
$6K |
| 2022 |
313 |
$8K |
| 2023 |
303 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
457 |
452 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
408 |
408 |
$9K |
| D1120 |
Prophylaxis - child |
113 |
113 |
$3K |
| D1110 |
Prophylaxis - adult |
71 |
71 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$326.90 |
| D0272 |
Bitewings - two radiographic images |
29 |
29 |
$317.40 |
| D1999 |
|
16 |
14 |
$160.00 |