FAMILY DENTISTS PROF LLC
NPI: 1851697148
· RAPID CITY, SD 57701
· Dentist
· NPI assigned 02/03/2011
Provider Details
| Authorized Official | BENUSIS, (JAY) JOHN (OFFICER) |
| NPI Enumeration Date | 02/03/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
269 |
$8K |
| 2019 |
154 |
$4K |
| 2020 |
24 |
$712.84 |
| 2021 |
62 |
$2K |
| 2022 |
76 |
$2K |
| 2023 |
24 |
$713.76 |
| 2024 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
273 |
273 |
$6K |
| D1120 |
Prophylaxis - child |
153 |
153 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
192 |
192 |
$6K |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$749.00 |