COPPER COUNTRY FAMILY DENTISTRY P.C.
NPI: 1063640480
· HOUGHTON, MI 49931
· General Practice Dentistry
· NPI assigned 06/24/2009
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
330 |
$9K |
| 2019 |
203 |
$6K |
| 2020 |
167 |
$4K |
| 2021 |
138 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
504 |
504 |
$12K |
| D1110 |
Prophylaxis - adult |
94 |
94 |
$4K |
| D1120 |
Prophylaxis - child |
91 |
91 |
$3K |
| D1206 |
Topical application of fluoride varnish |
89 |
89 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
48 |
48 |
$912.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$300.00 |