ALLEN ROAD DENTAL CENTER, PC.
NPI: 1013180157
· WOODHAVEN, MI 48183
· General Practice Dentistry
· NPI assigned 04/09/2008
Provider Details
| Authorized Official | RAFIQ, AYESHA (PRESIDENT) |
| NPI Enumeration Date | 04/09/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$492.00 |
| 2022 |
12 |
$339.59 |
| 2023 |
25 |
$175.00 |
| 2024 |
56 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
37 |
37 |
$1K |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$810.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$453.75 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$114.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$61.00 |