FRIENDLY DENTAL CARE
NPI: 1942435953
· TEMPLE CITY, CA 91780
· Dentist
· NPI assigned 05/19/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
101 |
$1K |
| 2019 |
32 |
$455.00 |
| 2020 |
120 |
$2K |
| 2021 |
265 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
139 |
137 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
56 |
55 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$1K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$818.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
73 |
72 |
$721.60 |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$383.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$312.00 |
| D1320 |
|
15 |
15 |
$110.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
12 |
$97.05 |
| D1999 |
|
121 |
113 |
$10.00 |
| D1310 |
|
15 |
15 |
$0.00 |