MY FAVORITE DENTAL CLINIC LLC
NPI: 1952785743
· HORSHAM, PA 19044
· General Practice Dentistry
· NPI assigned 07/13/2015
Provider Details
| Authorized Official | MA, HUIFANG (OWNER) |
| NPI Enumeration Date | 07/13/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
408 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
127 |
121 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
109 |
104 |
$2K |
| D0274 |
Bitewings - four radiographic images |
67 |
63 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
35 |
34 |
$737.85 |
| D0140 |
Limited oral evaluation - problem focused |
17 |
12 |
$283.50 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$247.73 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
22 |
$188.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
15 |
$174.04 |