HILLSDALE DENTAL ASSOCIATION
NPI: 1083779268
· HILLSDALE, MI 49242
· Dentist
· NPI assigned 12/27/2006
Provider Details
| Authorized Official | JAMESON, KEITH (PRESIDENT) |
| NPI Enumeration Date | 12/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
436 |
$14K |
| 2019 |
301 |
$9K |
| 2020 |
250 |
$7K |
| 2021 |
123 |
$3K |
| 2022 |
175 |
$4K |
| 2023 |
192 |
$5K |
| 2024 |
149 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
968 |
968 |
$24K |
| D1120 |
Prophylaxis - child |
375 |
375 |
$14K |
| D1206 |
Topical application of fluoride varnish |
202 |
202 |
$5K |
| D1110 |
Prophylaxis - adult |
38 |
38 |
$2K |
| D0272 |
Bitewings - two radiographic images |
43 |
43 |
$1K |