GREENWELL SPRINGS FAMILY DENTISTRY
NPI: 1730775685
· GREENWELL SPRINGS, LA 70739
· Dental Clinic/Center
· NPI assigned 12/15/2020
Provider Details
| Authorized Official | ROSS, ALISHA (OFFICE MANAGER) |
| NPI Enumeration Date | 12/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$1K |
| 2023 |
210 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
40 |
40 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
24 |
$1K |
| D0272 |
Bitewings - two radiographic images |
62 |
59 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
40 |
40 |
$1K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$975.00 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$845.44 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$258.57 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
12 |
$235.34 |