FAMILY DENTISTRY, LLP
NPI: 1730217654
· GRINNELL, IA 50112
· General Practice Dentistry
· NPI assigned 03/01/2007
$146K
Total Medicaid Paid
Provider Details
| Authorized Official | MARSHO, PETER (DOCTOR/PARTNER) |
| NPI Enumeration Date | 03/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,008 |
$19K |
| 2019 |
1,148 |
$23K |
| 2020 |
1,181 |
$25K |
| 2021 |
1,414 |
$27K |
| 2022 |
1,593 |
$30K |
| 2023 |
955 |
$20K |
| 2024 |
27 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
3,371 |
3,197 |
$61K |
| D1206 |
Topical application of fluoride varnish |
2,229 |
2,116 |
$37K |
| D1110 |
Prophylaxis - adult |
877 |
837 |
$28K |
| D1120 |
Prophylaxis - child |
523 |
515 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
270 |
252 |
$3K |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$561.10 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$246.81 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
14 |
$157.76 |