FRAME DENTAL CLINIC, LLC
NPI: 1801259056
· RICHMOND, IN 47374
· General Practice Dentistry
· NPI assigned 04/04/2016
$294.21
Total Medicaid Paid
Provider Details
| Authorized Official | FRAME, WESLEY (OWNER) |
| NPI Enumeration Date | 04/04/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$47.75 |
| 2022 |
13 |
$246.46 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$246.46 |
| D1110 |
Prophylaxis - adult |
13 |
12 |
$47.75 |