EMBRACE 212 LLC
NPI: 1891563722
· WATERTOWN, SD 57201
· General Practice Dentistry
· NPI assigned 12/20/2023
Provider Details
| Authorized Official | PROUTY, BRIAN (OWNER) |
| NPI Enumeration Date | 12/20/2023 |
Related Entities
Other providers sharing the same authorized official: PROUTY, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
202 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
127 |
127 |
$5K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$589.12 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$300.06 |