FRUITA CANYON DENTAL
NPI: 1972954949
· FRUITA, CO 81521
· Dentist
· NPI assigned 06/30/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
196 |
$6K |
| 2021 |
248 |
$9K |
| 2022 |
173 |
$6K |
| 2023 |
168 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
488 |
486 |
$13K |
| D1110 |
Prophylaxis - adult |
247 |
246 |
$12K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$371.20 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$272.78 |