RAINBOW CITY FAMILY DENTISTRY, LLC
NPI: 1861010886
· RAINBOW CITY, AL 35906
· Dental Clinic/Center
· NPI assigned 07/07/2020
Provider Details
| Authorized Official | BAKER, TRACY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/07/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
154 |
$3K |
| 2022 |
385 |
$8K |
| 2023 |
890 |
$22K |
| 2024 |
1,861 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1354 |
|
1,338 |
259 |
$48K |
| D1110 |
Prophylaxis - adult |
334 |
295 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
663 |
614 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
473 |
441 |
$9K |
| D1120 |
Prophylaxis - child |
216 |
204 |
$5K |
| D0274 |
Bitewings - four radiographic images |
205 |
187 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
46 |
$1K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$554.40 |