FAMILY DENTAL HEALTH OF CREEKSIDE LLC
NPI: 1790422137
· GREENVILLE, SC 29607
· General Practice Dentistry
· NPI assigned 05/17/2022
Provider Details
| Authorized Official | ILLSLEY, BETH (DIRECTOR OF INSURANCE) |
| Parent Organization | FDH HOLDINGS |
| NPI Enumeration Date | 05/17/2022 |
Related Entities
Other providers sharing the same authorized official: ILLSLEY, BETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
98 |
$4K |
| 2024 |
25 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
42 |
42 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
41 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$595.10 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$338.21 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$231.00 |