FORT DENTAL CENTER
NPI: 1073790838
· LINCOLN PARK, MI 48146
· Prosthodontist
· NPI assigned 01/23/2008
Provider Details
| Authorized Official | SAMMAN, FADI (OWNER/PARTNER) |
| NPI Enumeration Date | 01/23/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
42 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$456.40 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$385.69 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$303.31 |