PORT CITY DENTAL
NPI: 1043741424
· MUSKEGON, MI 49444
· General Practice Dentistry
· NPI assigned 03/27/2017
Provider Details
| Authorized Official | BEER, TERESA (INSURANCE SPECIALIST) |
| NPI Enumeration Date | 03/27/2017 |
Related Entities
Other providers sharing the same authorized official: BEER, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
278 |
$6K |
| 2021 |
543 |
$13K |
| 2022 |
476 |
$11K |
| 2023 |
58 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
313 |
312 |
$11K |
| D1206 |
Topical application of fluoride varnish |
469 |
468 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
289 |
289 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
152 |
151 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
102 |
98 |
$794.51 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$682.07 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$609.12 |