NORTHERN FAMILY DENTAL PLC
NPI: 1053992057
· CHARLEVOIX, MI 49720
· Dental Clinic/Center
· NPI assigned 04/20/2021
Provider Details
| Authorized Official | KWAPISZ, BRIAN (OWNER) |
| NPI Enumeration Date | 04/20/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
25 |
$496.00 |
| 2022 |
98 |
$3K |
| 2023 |
104 |
$3K |
| 2024 |
69 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
126 |
126 |
$3K |
| D1120 |
Prophylaxis - child |
71 |
71 |
$3K |
| D1206 |
Topical application of fluoride varnish |
57 |
57 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$889.52 |