ADOBE HILLS DENTAL, PLLC
NPI: 1932738895
· SAINT JOHNS, AZ 85936
· Dental Clinic/Center
· NPI assigned 04/03/2020
Provider Details
| Authorized Official | FARMER, BRENON (MEMBER) |
| NPI Enumeration Date | 04/03/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
186 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
70 |
70 |
$2K |
| D1206 |
Topical application of fluoride varnish |
63 |
63 |
$2K |
| D0274 |
Bitewings - four radiographic images |
28 |
27 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$883.35 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$611.05 |