MULBERRY DENTAL CARE INC.
NPI: 1972675809
· MULBERRY, FL 33860
· General Practice Dentistry
· NPI assigned 11/15/2006
$171K
Total Medicaid Paid
Provider Details
| Authorized Official | SHAFII, FARIBA (OWNER) |
| NPI Enumeration Date | 11/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
94 |
$2K |
| 2020 |
1,381 |
$24K |
| 2021 |
115 |
$2K |
| 2022 |
1,690 |
$41K |
| 2023 |
1,075 |
$82K |
| 2024 |
400 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
168 |
166 |
$78K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
700 |
697 |
$29K |
| D1110 |
Prophylaxis - adult |
610 |
610 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
373 |
373 |
$16K |
| D0330 |
Panoramic radiographic image |
628 |
626 |
$13K |
| D5120 |
|
85 |
84 |
$10K |
| D1330 |
|
642 |
642 |
$870.36 |
| D1999 |
|
144 |
135 |
$855.00 |
| D1351 |
Sealant - per tooth |
177 |
34 |
$400.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
645 |
644 |
$147.00 |
| D0272 |
Bitewings - two radiographic images |
583 |
583 |
$0.00 |