XYZ PLLC
NPI: 1083367361
· MARSHALL, MI 49068
· Dental Clinic/Center
· NPI assigned 01/27/2022
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
111 |
$1K |
| 2024 |
84 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
46 |
46 |
$896.00 |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$892.20 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
54 |
$670.91 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$635.25 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$220.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
29 |
27 |
$172.00 |