VAIL FAMILY DENTISTRY
NPI: 1750861233
· VAIL, AZ 85641
· Dental Clinic/Center
· NPI assigned 08/15/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BALLEW, SEAN (PRESIDENT) |
| NPI Enumeration Date | 08/15/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |