SISSON FAMILY DENTISTRY INC
NPI: 1972067569
· PENDLETON, IN 46064
· Dental Clinic/Center
· NPI assigned 01/28/2019
Provider Details
| Authorized Official | SISSON, JAMES (OWNER) |
| NPI Enumeration Date | 01/28/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
119 |
$2K |
| 2021 |
229 |
$7K |
| 2022 |
504 |
$16K |
| 2023 |
112 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
352 |
290 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
283 |
241 |
$6K |
| D0274 |
Bitewings - four radiographic images |
108 |
88 |
$3K |
| D1206 |
Topical application of fluoride varnish |
73 |
54 |
$2K |
| D1999 |
|
106 |
73 |
$1K |
| D0330 |
Panoramic radiographic image |
20 |
16 |
$681.64 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22 |
16 |
$616.20 |