CLARK FAMILY DENTAL CENTER, LLC
NPI: 1891201018
· CLARK, SD 57225
· Dental Clinic/Center
· NPI assigned 12/26/2017
Provider Details
| Authorized Official | SPIEKER, CRAIG (PARTNER) |
| NPI Enumeration Date | 12/26/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
361 |
$11K |
| 2019 |
149 |
$4K |
| 2020 |
25 |
$776.28 |
| 2021 |
254 |
$7K |
| 2022 |
461 |
$15K |
| 2023 |
541 |
$14K |
| 2024 |
257 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
833 |
826 |
$23K |
| D0274 |
Bitewings - four radiographic images |
472 |
467 |
$15K |
| D1110 |
Prophylaxis - adult |
252 |
245 |
$11K |
| D1120 |
Prophylaxis - child |
150 |
150 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
186 |
163 |
$4K |
| D1206 |
Topical application of fluoride varnish |
138 |
138 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
13 |
$1K |