CEDAR SPRINGS DENTAL PLLC
NPI: 1053087536
· CEDAR SPRINGS, MI 49319
· Dental Clinic/Center
· NPI assigned 08/17/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
110 |
$4K |
| 2022 |
881 |
$24K |
| 2023 |
991 |
$26K |
| 2024 |
862 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
698 |
697 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
841 |
841 |
$19K |
| D1206 |
Topical application of fluoride varnish |
860 |
860 |
$18K |
| D1110 |
Prophylaxis - adult |
179 |
179 |
$7K |
| D0274 |
Bitewings - four radiographic images |
100 |
100 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
73 |
73 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
43 |
43 |
$912.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$323.50 |