HALE FAMILY DENTISTRY CORP
NPI: 1912569492
· FORT WAYNE, IN 46815
· Customized Equipment (DME)
· NPI assigned 07/03/2019
Provider Details
| Authorized Official | HALE, CASSANDRA (MANAGER) |
| NPI Enumeration Date | 07/03/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
86 |
$2K |
| 2024 |
28 |
$1K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
76 |
76 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
24 |
$1K |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$222.50 |