SR BOSSIER LLC
NPI: 1821722240
· BOSSIER CITY, LA 71111
· General Practice Dentistry
· NPI assigned 07/12/2022
Provider Details
| Authorized Official | HOWELL, ABIGAIL (PRACTICE MANAGEMENT) |
| NPI Enumeration Date | 07/12/2022 |
Related Entities
Other providers sharing the same authorized official: HOWELL, ABIGAIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
93 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$641.30 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$406.14 |