DOVER DENTAL D.D.S., P.A. DBA DOVER FAMILY DENTISTRY
NPI: 1912529504
· MOUNTAIN HOME, AR 72653
· Dental Clinic/Center
· NPI assigned 05/18/2020
Provider Details
| Authorized Official | DOVER, MATT (OWNER/ DENTIST) |
| NPI Enumeration Date | 05/18/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
78 |
$2K |
| 2022 |
185 |
$4K |
| 2023 |
321 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
296 |
289 |
$7K |
| D1206 |
Topical application of fluoride varnish |
178 |
169 |
$3K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$1K |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$666.90 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$311.10 |