DENTAL SAFARI CO MISSOURI, PC
NPI: 1811761190
· O FALLON, MO 63368
· Dental Clinic/Center
· NPI assigned 11/08/2023
Provider Details
| Authorized Official | MORLEY, MARK (MANAGER) |
| NPI Enumeration Date | 11/08/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
41 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$686.40 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$515.20 |