COMPLETE FAMILY DENTISTRY
NPI: 1871028159
· LINCOLN, NE 68526
· Dentist
· NPI assigned 04/25/2017
$899K
Total Medicaid Paid
Provider Details
| Authorized Official | PLATE, FARRAH (CEO) |
| NPI Enumeration Date | 04/25/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
444 |
$9K |
| 2021 |
10,123 |
$132K |
| 2022 |
15,945 |
$212K |
| 2023 |
17,292 |
$236K |
| 2024 |
21,663 |
$311K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1355 |
|
39,047 |
2,760 |
$453K |
| D1354 |
|
12,149 |
1,772 |
$134K |
| D1110 |
Prophylaxis - adult |
2,944 |
2,924 |
$108K |
| D1206 |
Topical application of fluoride varnish |
3,330 |
3,306 |
$75K |
| D0120 |
Periodic oral evaluation - established patient |
2,679 |
2,660 |
$65K |
| D1999 |
|
1,986 |
1,980 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
758 |
753 |
$18K |
| D0210 |
Intraoral - complete series of radiographic images |
272 |
270 |
$13K |
| D9410 |
|
260 |
251 |
$10K |
| D1120 |
Prophylaxis - child |
67 |
66 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
60 |
24 |
$312.00 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
41 |
$263.28 |
| D9997 |
|
1,872 |
1,852 |
$0.00 |