MOUNTAIN VIEW PEDIATRIC DENTISTRY OF FARMINGTON
NPI: 1750736377
· FARMINGTON, UT 84025
· Pediatric Dentist
· NPI assigned 05/02/2016
Provider Details
| Authorized Official | QUAYLE, CAMERON (OWNER/DOCTOR) |
| NPI Enumeration Date | 05/02/2016 |
Related Entities
Other providers sharing the same authorized official: QUAYLE, CAMERON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
456 |
$19K |
| 2020 |
422 |
$18K |
| 2021 |
327 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
295 |
295 |
$41K |
| D0272 |
Bitewings - two radiographic images |
192 |
192 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$1K |
| D1120 |
Prophylaxis - child |
362 |
361 |
$742.62 |
| D1206 |
Topical application of fluoride varnish |
331 |
331 |
$110.85 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |