HOUGHTON LAKE FAMILY DENTISTRY
NPI: 1023734639
· HOUGHTON LAKE, MI 48629
· General Practice Dentistry
· NPI assigned 10/14/2022
Provider Details
| Authorized Official | PACELLA, ROBERT (OWNER/DENTIST) |
| NPI Enumeration Date | 10/14/2022 |
Related Entities
Other providers sharing the same authorized official: PACELLA, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$738.78 |
| 2023 |
307 |
$8K |
| 2024 |
824 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
332 |
332 |
$8K |
| D1120 |
Prophylaxis - child |
193 |
193 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
181 |
181 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
148 |
148 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
228 |
122 |
$2K |
| D1206 |
Topical application of fluoride varnish |
50 |
50 |
$1K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$737.92 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$539.00 |