DAVIDSON FAMILY DENTAL
NPI: 1922404987
· COEUR D ALENE, ID 83815
· General Practice Dentistry
· NPI assigned 11/18/2014
Provider Details
| Authorized Official | DAVIDSON, KIRK (OWNER) |
| NPI Enumeration Date | 11/18/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
114 |
$1K |
| 2019 |
153 |
$2K |
| 2020 |
38 |
$1K |
| 2021 |
92 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
122 |
121 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
166 |
165 |
$379.11 |
| D1208 |
Topical application of fluoride, excluding varnish |
68 |
68 |
$176.15 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$0.00 |
| D9920 |
|
12 |
12 |
$0.00 |