MOSES FAMILY DENTISTRY, LLC
NPI: 1952007197
· GONZALES, LA 70737
· Dental Clinic/Center
· NPI assigned 01/31/2023
Provider Details
| Authorized Official | MOSES, BRADLEY (OWNER) |
| NPI Enumeration Date | 01/31/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
347 |
$4K |
| 2024 |
1,116 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
465 |
229 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
375 |
253 |
$13K |
| D1110 |
Prophylaxis - adult |
200 |
113 |
$7K |
| D1206 |
Topical application of fluoride varnish |
101 |
100 |
$3K |
| D1120 |
Prophylaxis - child |
46 |
46 |
$2K |
| D0274 |
Bitewings - four radiographic images |
162 |
85 |
$782.00 |
| D0210 |
Intraoral - complete series of radiographic images |
102 |
56 |
$448.35 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$368.80 |