COLE FAMILY DENTISTRY
NPI: 1720260383
· FLORENCE, MS 39073
· General Practice Dentistry
· NPI assigned 12/05/2007
$129K
Total Medicaid Paid
Provider Details
| Authorized Official | COLE, MELISSA (PRESIDENT) |
| NPI Enumeration Date | 12/05/2007 |
Related Entities
Other providers sharing the same authorized official: COLE, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
125 |
$5K |
| 2020 |
88 |
$3K |
| 2021 |
1,368 |
$31K |
| 2022 |
1,044 |
$32K |
| 2023 |
858 |
$29K |
| 2024 |
789 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,171 |
1,099 |
$35K |
| D1206 |
Topical application of fluoride varnish |
1,148 |
1,069 |
$28K |
| D0330 |
Panoramic radiographic image |
466 |
432 |
$24K |
| D0120 |
Periodic oral evaluation - established patient |
481 |
462 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
390 |
344 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
269 |
238 |
$10K |
| D0274 |
Bitewings - four radiographic images |
64 |
53 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
153 |
140 |
$2K |
| D1351 |
Sealant - per tooth |
99 |
13 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$275.00 |
| D0272 |
Bitewings - two radiographic images |
19 |
14 |
$216.32 |