BRIAN E. ANDERSON, D.D.S., PLLC
NPI: 1063796456
· ISHPEMING, MI 49849
· Dental Clinic/Center
· NPI assigned 10/04/2011
Provider Details
| Authorized Official | ANDERSON, BRIAN (SOLE MEMBER) |
| NPI Enumeration Date | 10/04/2011 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
267 |
$10K |
| 2020 |
250 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
126 |
126 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
144 |
144 |
$4K |
| D1206 |
Topical application of fluoride varnish |
148 |
148 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
24 |
12 |
$2K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$879.62 |
| D1351 |
Sealant - per tooth |
23 |
12 |
$493.00 |