CONNECTICUT FAMILY DENTISTRY, LLC
NPI: 1770814956
· MANCHESTER, CT 06040
· General Practice Dentistry
· NPI assigned 01/27/2010
Provider Details
| Authorized Official | WARNER, KIM (OFFICE MANAGER) |
| NPI Enumeration Date | 01/27/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
354 |
$13K |
| 2019 |
417 |
$14K |
| 2020 |
301 |
$10K |
| 2021 |
293 |
$10K |
| 2022 |
402 |
$13K |
| 2023 |
299 |
$10K |
| 2024 |
55 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
825 |
798 |
$35K |
| D1208 |
Topical application of fluoride, excluding varnish |
805 |
781 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
491 |
472 |
$15K |