SWAN FALLS FAMILY DENTISTRY
NPI: 1710159389
· KUNA, ID 83634
· General Practice Dentistry
· NPI assigned 03/24/2008
Provider Details
| Authorized Official | HAWS, ZACH (DENTIST) |
| NPI Enumeration Date | 03/24/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
897 |
$10K |
| 2019 |
1,093 |
$11K |
| 2020 |
607 |
$7K |
| 2021 |
350 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
358 |
357 |
$27K |
| D1120 |
Prophylaxis - child |
104 |
104 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
649 |
647 |
$317.11 |
| D0220 |
Intraoral - periapical first radiographic image |
443 |
435 |
$43.23 |
| D0274 |
Bitewings - four radiographic images |
238 |
238 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
496 |
495 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
384 |
298 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
169 |
169 |
$0.00 |
| D1351 |
Sealant - per tooth |
106 |
13 |
$0.00 |